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对术后半年~7年的68耳分泌性中耳炎进行追踪观察,并对术式及疗效进行分析。结果显示术前声导抗检查68耳均为B型曲线,术后检查A型51耳、B型9耳、C型3耳、鼓膜穿孔5耳。术前纯音测听34耳,语言频率平均提高10~20db11耳、30db9耳、40db9耳、不变5耳。术式中腺样体刮除+置管和扁桃体摘除+腺样体刮除疗效较好。提出对术后病例应继续治疗鼻腔、鼻窦疾病,及时处理并发症以防止复发。
Sixty-eight cases of otitis media with secretory otitis media were followed up from six months to seven years after surgery. The surgical procedures and curative effects were analyzed. The results showed that 68 ears were preoperative B-curve acoustic conductivity test, postoperative examination of type A 51 ears, B type 9 ears, C type 3 ears, tympanic membrane perforation 5 ears. Preoperative pure tone audiometry 34 ears, the average language frequency increased 10 ~ 20db11 ears, 30db9 ears, 40db9 ears, unchanged 5 ears. Adenoidectomy surgery + catheter and tonsillectomy + adenoid curettage better. Proposed postoperative cases should continue to treat nasal and sinus diseases, timely treatment of complications to prevent recurrence.