儿童分泌性中耳炎临床治疗效果分析

摘要

目的：探讨儿童分泌性中耳炎的临床特点及其不同治疗方案治疗效果的分析。方法回顾性分析60例儿童患者的临床资料，收集整理其完整的听力学检查资料，做治疗前后的对比分析。结果儿童分泌性中耳炎多出现在急性上呼吸道感染后，容易反复发作，本组患儿每年发作2次以上者21例。分别经过药物保守、外科手术治疗后，均得到了满意的治疗效果。结论药物对急性分泌性中耳炎治疗有效，但单纯药物对慢性分泌性中耳炎治疗效果差，慢性分泌性中耳炎患儿应该常规腺样体切除，鼓室冲洗或是置管术，置管应该保留6个月以上。%Objective To explore the clinical characteristic of pediatric secretory otitis media, and the effect of different treatments.Methods Sixty cases were analyzed retrospectively.To summarize the sixty clinical cases with complete audiology manifestations for contrasting between prior and post treatment.Results Children secretory otitis media after appearing in acute upper respiratory tract infection, easy to repeated attacks. This group of children 21 cases occurred more than 2 times each year.Respectively after drug conservative treatment, surgical operation, obtained satisfactory curative effect.Conclusions Drugs for acute otitis media with effusion treatment effective, but simple drug treatment of chronic otitis media with effusion effect.Chronic bran-secretory otitis media in children should be routine adenoid resection, tympanic membrane puncture rinse or eardrum catheterization technique, catheterization should be retained for longer than 6 months.