儿童腺样体形态学与分泌性中耳炎的相关分析

目的通过儿童腺样体的大体形态、影像学形态、细胞学形态三方面分析,探讨儿童腺样体形态学与分泌性中耳炎的相关性。方法通过检查98例184耳（双耳患病者86例,单耳患病者12例）分泌性中耳炎患儿的腺样体,从腺样体的大体形态、影像学形态、细胞学形态三方面分析腺样体形态学与分泌性中耳炎的相关性。结果 98例腺样体的形态学检查中,肥大型、A/N值≥0.71、炎症性、过敏性的腺样体易患分泌性中耳炎,导致咽鼓管功能障碍致鼓室图异常,中耳压力变小,会造成儿童听力下降,而平坦型、A/N值≤0.60、单纯肥大的腺样体对儿童听力的影响较小。结论儿童腺样体的形态学与分泌性中耳炎有相关性,故有必要对分泌性中耳炎患儿进行腺样体的相关检查,行腺样体切除术有助于治疗分泌性中耳炎。

Relationship between adenoid morphology and secretory otitis media in children

Objective To discuss the correlation of adenoid morphology and secretory otitis media in children by compared with the children＇s adenoid body general form, imaging form, cytology form three aspects. Methods 98 cases of 184 ears （Double ears diseased 86 cases, single ears diseased 12 cases） to children with ome of adenoid arc rccomparcd with three aspects, including the scope of the adenoid shape and imaging form, cytology form, from adenoid morphology analysis and correlation ofome. ResuRs In the inspection of 98 cases adcnoidectomy morphology, Duchennc, A/N ≥0.71, inflammation, irritability adenoidcctomy arc easy to get secretory otitis media and cause eustachian tube dysfunition to drum-type figure abnormalities and Middle ear pressure will small, It will cause the child to hearing loss, but flat, A/N≤0.60, only fat adenoidectomy is less effective for children hearing. Conclusion Adenoid children of morphology and secretory otitis media have significant relation, so it is necessary to do relative investigation for secretory otitis media with adenoid related inspection, and adenoidectomy is helpful to cure secretory otitis media.