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目的:探讨不同年龄腭裂患儿鼓膜置管术对分泌性中耳炎恢复的影响。方法:不同年龄伴分泌性中耳炎的腭裂患儿同时进行腭裂整复术及鼓膜切开置管术,术后半年进行鼓膜检查和声导抗测试,并对年龄构成相匹配,只行腭裂整复术的患儿术后进行同样的检查。结果:同时行鼓膜切开置管术的患儿术后分泌性中耳炎的相关指标与只行腭裂整复术的患儿比较差异有统计学意义。同时行鼓膜切开置管术患儿年龄较小组术后分泌性中耳炎指标与较大年龄组比较,差异有统计学意义。结论:鼓膜切开置管术对腭裂患儿的中耳功能恢复起着积极的意义,且手术年龄越小,中耳功能恢复程度越好。伴分泌性中耳炎的腭裂患儿应在早期行腭裂整复术的同时进行鼓膜切开置管术。
Objective: To investigate the effect of tympanostomy on the recovery of secretory otitis media in pediatric patients with cleft palate. Methods: Children with cleft palate and secretory otitis media at the same time were treated with cleft palate and tympanotomy, and tympanic membrane examination and acoustic impedance test were performed six months after operation. The age-matched paired cleft palate Surgery in children after the same examination. Results: There were significant differences in the indexes of postoperative otitis media with effusion in children undergoing tympanotomy and tympanotomy alone. At the same time, the children undergoing elective tympanotomy underwent surgery with a smaller group of postoperative secretory otitis media indicators compared with the older age group, the difference was statistically significant. Conclusions: Tympanotomy and catheterization play a positive role in the recovery of middle ear function in children with cleft palate, and the younger the operation, the better the recovery of middle ear. Children with cleft palate with secretory otitis media should undergo tympanotomy and catheterization at the same time as cleft palate repair.