摘要
目的 探讨腭裂与分泌性中耳炎的关系 ,了解腭裂修复术及鼓室置管术手术前后的听力学变化。方法 对 2 0 3(4 0 6耳 )例腭裂患者进行年龄分组 ,采用声导抗 ,纯音测听或听性脑干反应 (ABR)检查判断中耳功能。2 1例腭裂伴分泌性中耳炎患者在作腭裂修复术的同时 ,行鼓室置管术 ,术前术后作听力学检测。结果 2 0 3例腭裂患者 ,中耳功能障碍的发病率为 6 8.5 % ,6岁前可高达 80 %。 2 1例腭裂伴分泌性中耳炎患者术后随访 1～ 3年 ,听力明显改善 ,平均听力比术前提高 17dB(P <0 .0 1)。结论 腭裂与分泌性中耳炎的发病明显有关 ,年龄越小 ,发病率越高。腭裂伴有分泌性中耳炎的患者 ,应早期行鼓室置管术 ,方能改善听力 ,有助于正常语言的发育。
Objective To study the relationship between cleft palate and secretory otitis media(SOM)and the change of hearing of cleft palate patients with SOM before and after tube insertion.Methods 203 cleft palate patients(406 ears)were investigated by pure tone audiometry,acoustic immitance audiometry and auditory brainstem response(ABR).21 cleft palate patients with SOM underwent palatoplasty and myringotomy with tube insertion at the same time.Results The incidence of middle ear disfunction was 68.5% in 203 cases with cleft palate,which in the cases under 6 years the incidence was 80%.After operation,21 cases were followed up one to three years,their average hearing improvement was 17dB by tube insertion( P <0.01).Conclusion 1. Cleft palate is assocated with incidence of SOM,the younger age of cleft palate is,the higher incidence of SOM. 2. Cleft palate patients with SOM should be treated at an early stage,it is beneficial to improve hearing and develop their speech.
出处
《听力学及言语疾病杂志》
CAS
CSCD
2001年第4期230-232,共3页
Journal of Audiology and Speech Pathology
关键词
腭裂
分泌性中耳炎
鼓室置管
Cleft palate\ \ Secretory otitis media\ \ Myringotomy with tube insertion
