摘要:目的:探讨儿童分泌性中耳炎的临床特点及不同治疗方案的效果.方法:回顾性分析84例分泌性中耳炎患儿的临床资料及其相关因素,并收集资料完整的22例做治疗前后的对比。结果:84例患儿中有73.8%存在鼻咽或口咽部病变,另有继发于感冒占8.33%,伴有先天性听力障碍占3.65%,例原因不明占总14.29%,鼓膜穿刺并置管同时切除增殖体病变后,听力显著提高(P lt;0.05)。结论:对反复发作的SOM患儿应行鼓膜置管,保留6个月以上,同时鼻咽和口咽部伴发病变应引起临床医生的重视,积极处理相关疾病。
Citation：
LIU Zhengwu,HUANG Anyuang.. Clinical Analysis to Secretory Otitis Media in Children. West China Medical Journal, 2009, 24(7): 1631-1632. doi:
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. 闫承先.小儿耳鼻咽喉科学[M].天津:天津科学技术出版社,1985:192.
- 2. 商莹莹,倪道凤.婴幼儿分泌性中耳炎的诊断[J].中华耳鼻咽喉头颈外科杂志,2006,41:631-633.
- 3. Neff MJ,AAP,AAFP,et al. AAP,AAFP,AAOHNS 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,陈迎迎,杨继红,等. 鼓室置管术失败的相关因素分析[J]. 耳鼻咽喉头颈外科,2001,6(31):368.
