腺样体肥大并分泌性中耳炎患儿的预后影响因素分析

发布时间：2019-01-03 18:43

【摘要】：目的探讨腺样体肥大并分泌性中耳炎的患儿在腺样体切除术后其分泌性中耳炎预后的影响因素。方法以198例(252耳)腺样体肥大伴分泌性中耳炎患儿为研究对象,其中15例(23耳)行鼓膜置管术者不计入统计结果。对其余183例(229耳)住院行鼻内镜下腺样体切除术的患儿,随访3~12个月,比较不同性别、病程、腺样体肥大程度、咽鼓管功能及是否伴慢性鼻-鼻窦炎患儿的疗效。结果 183例(229耳)并分泌性中耳炎患儿行腺样体切除术后分泌性中耳炎治愈143例(157耳),好转20例(39耳),无效20例(33耳)。病程长、腺样体Ⅲ度肥大、咽鼓管功能未恢复、伴慢性鼻-鼻窦炎的患儿分别较病程短、腺样体Ⅰ、Ⅱ度大、咽鼓管功能恢复及不伴慢性鼻-鼻窦炎患儿疗效差(P0.05)。结论病程较长、腺样体Ⅲ度肥大、咽鼓管功能障碍、伴慢性鼻-鼻窦炎可能影响腺样体肥大并分泌性中耳炎患儿在腺样体切除术后其分泌性中耳炎的预后。
[Abstract]:Objective to investigate the prognostic factors of secretory otitis media in children with adenoid hypertrophy and secretory otitis media after adenoidectomy. Methods 198 cases (252 ears) of adenoid hypertrophy with secretory otitis media were studied, of which 15 cases (23 ears) underwent tympanic membrane catheterization. The remaining 183 cases (229 ears) who underwent endoscopic adenoidectomy were followed up for 3 ~ 12 months. The results were compared between different sexes, course of disease, degree of adenoid hypertrophy, eustachian tube function and whether children with chronic rhinosinusitis. Results in 183 cases (229 ears) with secretory otitis media, 143 cases (157 ears) were cured after adenoidectomy, 20 cases (39 ears) improved, 20 cases (33 ears) failed. The course of disease was long, adenoid third degree hypertrophy, eustachian tube function did not recover, the children with chronic rhinosinusitis had shorter course of disease, adenoid 鈪，

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