鼻内窥镜在儿童复发性分泌性中耳炎治疗中的应用价值.pdfVIP

Journal of Medical Fo ： ： 』 ! · 57· 鼻内窥镜在儿童复发性分泌性中耳炎 治疗 中的应用价值 王伟韬 郑州大学第五附属医院耳鼻咽喉科 郑州市 450052 摘要 目的 探讨鼻内窥镜在儿童复发性分泌性中耳炎治疗中的方法和疗效。方法 回顾性分析 2002—2006年我科用鼻内窥镜辅助治疗的7l例(1l8耳)儿童复发性分泌性中耳炎临床病例资料。结果 完成 治疗后3个月、半年两次随访，其中治愈或好转107耳，总有效率90．68％，无效ll耳(9．32％)。结论 鼻内窥 镜在分泌性中耳炎的辅助治疗中显示很大的应用价值，该方法操作简便，疗效显著。 关键词 分泌性中耳炎；鼓膜切开；传导性聋；腺样体肥大；鼻内窥镜 中图分类号：R764．21 文献标识码：B 文章编号：1672-3422(2008)14-0057-02 Value of Nasal Endoscope Used in Recurrent Otitis Media with E sion in Children ，AⅣG Weitao The Fifth Affiliated Hospital ofZhengzhou Uiniversity，Zhengzhou 450052，China ABSTRACT Objective To approach the ways and therapeutic effect of Nasal endoscope used in recurrent otitis media with effusion(OME)in children．Methods To analyze retrospectively the clinical material of 7 1 cases of patients who had accepted adjunctive therapy of nasal endoscope used in recurrent otitis media with effusion(OME)in children between the year of 2002 to 2006 in our depaa- ment．Results All cases were followed up two times in three months and half a year after the treat- ment，among which 1 07 cases were healing well or were improved，effective rate was 90．68％． 1 1 cases were ineffective．Conclusion The adjunctive therapy of nasal endoscope used in recur- rent OME in children have greater value，characterized by simple operation and predominant thera- peutic effect． KEY WORDS Secretory otitis media；Discission of tympanic membrane；Air conduction hearing loss；Adenoid hypertrophy；Nasal endoscope 分泌性中耳炎(otitis media with effusion， 1 资料与方法 OME)是以中耳鼓室负压、积液及传导 听力下降 为主要特征的中耳非化脓性炎性疾病，对儿童的 1．1 临床资料 本组71例(118耳)儿童复发性分 言语认知行为方面有一定的影响，是儿童常见的