耳内镜下鼓膜置管联合腺样体切除术干预78例儿童分泌性中耳炎临床研究

发布时间：2018-06-03 12:57

本文选题：耳内镜 + 分泌性中耳炎　；参考：《中国妇幼保健》2014年20期

【摘要】：目的:探讨耳内镜下鼓膜置管联合腺样体切除术干预儿童分泌性中耳炎的临床效果。方法:选取该科收治的78例儿童分泌性中耳炎患者,随机分为耳内镜下鼓膜置管联合腺样体切除术治疗组(观察组)以及单纯耳内镜下鼓膜置管治疗组(对照组),观察两组患儿的中耳积液情况、语频区气导平均听阈、完全愈合时间和复发情况,评价疗效,随访观察其生活质量。结果:观察组有效率92.31%,优于对照组79.49%,差异具有统计学意义(P0.05),同时,与对照组比较,观察组患儿的中耳积液时间、复发率均降低明显,差异具有统计学意义(P0.05或P0.01),而各项生活质量指标均升高明显,差异均具统计学意义(均P0.05)。结论:耳内镜下鼓膜置管联合腺样体切除术治疗儿童分泌性中耳炎不仅可有效缩短中耳积液时间,减少复发率,而且可提高患儿的生活质量。
[Abstract]:Objective: To investigate the clinical effect of tympanic membrane tube insertion and adenoidectomy under ear endoscopy in children with secretory otitis media. Methods: 78 cases of secretory otitis media in children were randomly divided into otendoscopy combined with tympanic membrane catheterization and adenoidectomy (observation group) and simple ear endoscopy in the group of tympanic membrane catheterization. In the control group, the effusion of the middle ear in the two groups, the average hearing threshold of the speech frequency area, the time of complete healing and the recurrence, the curative effect were evaluated, and the quality of life was observed. Results: the effective rate of the observation group was 92.31%, superior to 79.49% in the control group (P0.05), at the same time, compared with the control group, the middle ear effusion was observed in the children. Time, the recurrence rate decreased obviously, the difference was statistically significant (P0.05 or P0.01), and the quality of life increased obviously, the difference was statistically significant (all P0.05). Conclusion: ear endoscopy combined with adenoid resection of tympanic membrane tube in the treatment of secretory otitis media in children can not only effectively shorten the time of the middle ear effusion, and reduce the recurrence rate. And it can improve the quality of life of the children.
【作者单位】：齐齐哈尔医学院附属第二医院耳鼻喉科;齐齐哈尔医学院附属第二医院血液科;
【基金】：黑龙江省教育厅科学技术项目〔12523066〕齐齐哈尔医学院科学研究项目〔9232012Y1040-01〕
【分类号】：R764.21

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