摘要
目的观察分泌性中耳炎（OME）患儿鼓膜置管术后的远期疗效及其相关影响因素，并探讨可能潜在的病变因素在通气管排出后OME复发中的作用。方法回顾性分析41例（64耳）OME住院患儿接受鼓膜置管且随访12-18个月的病历资料。结果①64耳中，52耳听力改善（81.3%），12耳复发，未见有严重的并发症；②病程短者置管疗效明显优于病程长者；③单纯OME组与伴发鼻窦炎OME组鼓室置管有效率比较有显著性差异。结论鼓室置管术安全、有效，远期效果良好。鼓膜置管的同时，针对病因解除邻近病灶的影响，才有可能取得更好的远期效果。
Objective To explore the long-term effect of ventilation tube insertion on otitis media with effusion （OME） in children.Methods A total of 41 （64 ears）children accepted ventilation tube insertion for OME and were followed up for 12 - 18 months postoperatively. A retrospective analysis of these cases was conducted. Results ①52 ears had hearing improvement（81.3% ）and 12 ears had OME recurrence. No serious complications were found in the treated ears. ②Therapeutic effects were associated with course of disease. ③Effective rates of OME group were significant higher than that of OME with inusitis group. Conclusion The ventilation tube insertion in medial ear is safe and effective to restore the hearing impaired by OME in the patients. It can be used as a regular management for OME and hearing loss in children. Therefore, better long-term outcome may be expected only after identifying the underlying pathological changes and giving them appropriate treatment in addition toventilation tube insertion.
出处
《哈尔滨医科大学学报》
CAS
北大核心
2007年第5期475-477,共3页
Journal of Harbin Medical University
关键词
中耳炎
伴渗出液
中耳通气
儿童
otitis media, effusion
middle ear ventilation
children
