176例儿童腺样体肥大住院病例中,同时患分泌性中耳炎者93例,占52.9%。发病以3～6岁居多,随年龄增长而发病减少。分析分泌性中耳炎在儿童腺样体肥大发病较高的因素可能为:腺样体肥大导致咽鼓管功能状态改变;腺样体内窝藏细菌及病毒引起咽鼓管及中耳感染;炎症刺激引起的免疫反应所形成的免疫复合物损害粘膜而致积液;儿童的解剖生理因素。其发病机理可能为一综合因素。 176 cases of children with adenoid hypertrophy in hospital cases, while suffering from secretory otitis media in 93 cases, accounting for 52.9%. The incidence of mostly 3 to 6 years old, with age and reduce the incidence of disease. Analysis of secretory otitis media in children with higher incidence of adenoid hypertrophy may be: adenoid hypertrophy lead to Eustachian tube function state changes; adenoid bacteria and viruses harboring Eustachian tube and middle ear infections; caused by inflammatory stimuli Immune complexes formed by the immune damage mucosal effusion; children’s anatomical and physiological factors. The pathogenesis may be a combination of factors.