鼓膜穿刺和置管治疗儿童OSAHS合并分泌性中耳炎疗效分析

Tympanocentesis versus Myringotomy Tube Insertion in Children with Obstructive Sleep Apnea Hypopnea Syndrome and Secretory Otitis Media

陈芳;李晓艳;

1:上海交通大学附属儿童医院耳鼻咽喉头颈外科

摘要
目的探讨鼓膜穿刺抽液和置管对于儿童阻塞性睡眠呼吸暂停低通气综合征(OSAHS)合并分泌性中耳炎的疗效。方法将OSAHS合并分泌性中耳炎患儿202例(267耳)随机分为腺样体切除伴鼓膜穿刺组96例(145耳)和腺样体切除伴鼓膜置管组106例(122耳)。鼓膜穿刺组于术后1月和3月、鼓膜置管组通气管取出后1月复查声导抗,并对两组治疗后分泌性中耳炎的有效率、复发率进行比较。结果鼓膜穿刺组术后1个月及3个月分泌性中耳炎的治疗有效率分别为90.34%和93.10%;鼓膜置管组取管1月后分泌性中耳炎的治疗有效率为95.08%,两组间差异无显著统计学意义(P>0.05)。术后随访6个月,两组的复发率分别为2.0%和0.8%,再手术率均为0。结论对于OSAHS合并分泌性中耳炎的患儿,在腺样体切除的前提下行鼓膜穿刺与鼓膜置管治疗分泌性中耳炎的疗效相当。
关键词
分泌性中耳炎;鼓膜穿刺;鼓膜置管;疗效
基金项目(Foundation):
作者
陈芳;李晓艳;
参考文献

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