• 四川攀枝花市第二人民醫(yī)院耳鼻咽喉科,四川攀枝花 617000;

摘要:目的:探討兒童分泌性中耳炎的臨床特點及不同治療方案的效果.方法:回顧性分析84例分泌性中耳炎患兒的臨床資料及其相關(guān)因素,并收集資料完整的22例做治療前后的對比。結(jié)果:84例患兒中有73.8%存在鼻咽或口咽部病變,另有繼發(fā)于感冒占8.33%,伴有先天性聽力障礙占3.65%,例原因不明占總14.29%,鼓膜穿刺并置管同時切除增殖體病變后,聽力顯著提高(P lt;0.05)。結(jié)論:對反復(fù)發(fā)作的SOM患兒應(yīng)行鼓膜置管,保留6個月以上,同時鼻咽和口咽部伴發(fā)病變應(yīng)引起臨床醫(yī)生的重視,積極處理相關(guān)疾病。

引用本文： 劉振武,黃安源. 小兒分泌性中耳炎的臨床分析. 華西醫(yī)學, 2009, 24(7): 1631-1632. doi: 復(fù)制

版權(quán)信息： ?四川大學華西醫(yī)院華西期刊社《華西醫(yī)學》版權(quán)所有，未經(jīng)授權(quán)不得轉(zhuǎn)載、改編

1. 閆承先.小兒耳鼻咽喉科學[M].天津:天津科學技術(shù)出版社,1985:192.
2. 商瑩瑩,倪道鳳.嬰幼兒分泌性中耳炎的診斷[J].中華耳鼻咽喉頭頸外科雜志,2006,41:631-633.
3. Neff MJ,AAP,AAFP,et al. AAP,AAFP,AAOHNS release guideline on diagnosis and management of otitis media with effusion[J]. Am Fam Physician,2004,69:2929-2931.
4. EMERY M,WEBER PC. Hearing loss due to myringotomy and tube placement and the role of preoperative audiograms [J]. Arch Otolaryngology Head Neck Surg,1998,124:417.
5. 高金建,陳迎迎,楊繼紅,等. 鼓室置管術(shù)失敗的相關(guān)因素分析[J]. 耳鼻咽喉頭頸外科,2001,6(31):368.
  1. 1. 閆承先.小兒耳鼻咽喉科學[M].天津:天津科學技術(shù)出版社,1985:192.
  2. 2. 商瑩瑩,倪道鳳.嬰幼兒分泌性中耳炎的診斷[J].中華耳鼻咽喉頭頸外科雜志,2006,41:631-633.
  3. 3. Neff MJ,AAP,AAFP,et al. AAP,AAFP,AAOHNS release guideline on diagnosis and management of otitis media with effusion[J]. Am Fam Physician,2004,69:2929-2931.
  4. 4. EMERY M,WEBER PC. Hearing loss due to myringotomy and tube placement and the role of preoperative audiograms [J]. Arch Otolaryngology Head Neck Surg,1998,124:417.
  5. 5. 高金建,陳迎迎,楊繼紅,等. 鼓室置管術(shù)失敗的相關(guān)因素分析[J]. 耳鼻咽喉頭頸外科,2001,6(31):368.