儿童分泌性中耳炎鼓膜置管手术的预后及其影响因素分析

发布时间：2018-08-18 18:01

【摘要】：目的探讨儿童分泌性中耳炎鼓膜置管干预治疗的预后状况,并分析其影响因素。方法 2011年因分泌性中耳炎于该科行鼓膜置管术的103例(182耳)儿童病例,对其进行2年的术后随访,依据年龄中位数6岁将病例分成A组和B组。比较两组术前、术后2周纯音测听平均听阈,伴或不伴腺样体肥大、置管脱出时间、分泌性中耳炎复发及是否实施二次手术治疗情况。结果两组术前、术后2周纯音测听平均听阈比较差异无统计学意义(P0.05),两组术后2周纯音测听平均听阈均低于术前(P0.05)。两组伴有腺样体肥大、置管脱出时间、二次置管数比较差异有统计学意义(P0.05),分泌性中耳炎复发数差异无统计学意义(P=0.088)。结论对于学龄期分泌性中耳炎患儿需适当延长置管时间以降低二次置管概率。
[Abstract]:Objective to investigate the prognosis of children with secretory otitis media treated by tympanic membrane catheter and analyze its influencing factors. Methods one hundred and three children (182 ears) with secretory otitis media received tympanic membrane catheterization in 2011 were followed up for 2 years. According to the median age of 6 years, the patients were divided into group A and group B. The mean hearing threshold of pure tone audiometry, with or without adenoid hypertrophy, the time of indwelling and prolapse, the recurrence of secretory otitis media and the second operation were compared between the two groups before and 2 weeks after operation. Results there was no significant difference between the two groups in the mean hearing threshold of pure tone audiometry 2 weeks after operation (P0.05), but the average threshold of pure tone audiometry in the two groups was lower than that before operation (P0.05). There were significant differences between the two groups with adenoid hypertrophy, extubation time and the number of secondary catheterization (P0.05), but there was no significant difference in the number of recurrent secretory otitis media (P0. 088). Conclusion for children with secretory otitis media at school age, the time of intubation should be extended to reduce the probability of secondary catheterization.
【作者单位】：首都医科大学附属北京儿童医院耳鼻咽喉头颈外科;
【分类号】：R764.21

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