鼓膜穿刺、CO_2激光鼓膜打孔联合腺样体切除治疗儿童分泌性中耳炎疗效比较

王红梅;李连贺;谭福宪;闫志平;

1:辽宁省朝阳市中心医院耳鼻咽喉科

摘要

目的探讨鼓膜穿刺抽液加腺样体切除和CO_2激光鼓膜打孔加腺样体切除对儿童分泌性中耳炎的疗效。方法将分泌性中耳炎患儿80例(121耳)随机分为腺样体切除加鼓膜穿刺组(鼓膜穿刺组)46例(72耳)和腺样体切除加鼓膜CO_2激光打孔组(鼓膜打孔组)34例(49耳),于术后1、3和6个月复查纯音测听和声导抗,比较两组疗效。结果鼓膜穿刺组和鼓膜打孔组术后1个月的有效率分别为65.21%和91.17%,差异有统计学意义(P<0.01),术后3个月的有效率分别为93.47%和94.11%,差异无统计学意义(P>0.05);术后随访6个月,两组的复发率分别为2.1%和2.9%,再手术率均为0。结论对于分泌性中耳炎的患儿,腺样体切除加鼓膜CO_2激光打孔治疗术后1个月的疗效好于腺样体切除加鼓膜穿刺,而术后3、6个月两种方法的疗效相当。

关键词

鼓膜穿刺;分泌性中耳炎;激光;腺样体切除术

基金项目(Foundation):

作者

王红梅;李连贺;谭福宪;闫志平;

参考文献

1 Tezer MS,Karanfil A,Aktas D.Association between adenoidal nasopharyngeal ratio and right ventricular diastolic functions in children with adenoid hypertrophy causing upper airway obstruction[J].Pediatr Otorhinolaryngol,2005,69:1169.

2 Mitchell RB,Kely J.Long-term changes in behavior after adenotosillecomy for obstructive sleep apnea syndrome in children[J].Otolaryngol Head Neck Surg,2006,134:374.

3邹坚定.Goode-T型鼓膜通气管治疗分泌性中耳炎[J].中国眼耳鼻喉科杂志,2007,7:114.

4李永奇,李源.腺样体切除术与儿童中耳炎[J].国外医学耳鼻咽喉科学分册,2001,25:138.

5李军.分泌性中耳炎治疗进展[J].临床医学,2013,33:117.

6陈伟南,杨海弟,陈秋坚,等.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[J].中华耳科学杂志,2010,8:200.

7 Le CT,Freeman DW,Fireman BH.Evaluation of ventilating tubes and myringotomy in the treatment of recurrent of in the treatment 0frecurrent or persistent otitis media[J].Pediatr Infect Dis J,1991,10:2.

8 Mande EM,Rockette HE,Bluestone CD,et al.Myringotomy with and without tympanostomy tubes for chronic otitis media with effusion[J].Arch Otolaryngol Head Neck Surg,1989,115:1217.

9 Midgley EJ,Dewey C,Pryce K,et al.The frequency otitis media with effusion in British pre-school children:aguide for treatment.ALSPAC Study Team[J].Clin Otolaryngo Apllied Sci,2000,25:485.

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王红梅李连贺谭福宪闫志平