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目的:观察鼓膜置管联合腺样体切除术治疗儿童复发性分泌性中耳炎(OME)的临床疗效。方法:随机将126例复发性OME患儿分为观察组(63例)和对照组(63例),观察组行鼓膜置管术联合腺样体切除术,对照组单纯行鼓膜置管术。并对2组术后疗效进行观察和分析。结果:126例患者中,观察组与对照组的总有效率分别为96.82%和76.19%,2组相比差异有统计学意义(P<0.05);且2组在复发率高低、中耳腔积液时间长短方面差异有统计学意义(P<0.05);在完全愈合时间方面,2组差异无统计学意义(P>0.05)。结论:在术后复发率和缩短中耳积液时间方面,鼓膜置管联合腺样体切除术治疗儿童复发性OME疗效显著。
Objective: To observe the clinical efficacy of tympanic membrane catheter combined with adenoidectomy in children with recurrent secretory otitis media (OME). Methods: A total of 126 patients with recurrent OME were randomly divided into observation group (63 cases) and control group (63 cases). The observation group received tympanic membrane resection combined with adenoidectomy, and the control group received simple tympanoplasty. Two groups of postoperative efficacy were observed and analyzed. Results: The total effective rate of the observation group and the control group was 96.82% and 76.19% respectively in 126 patients, there was significant difference between the two groups (P <0.05). In the two groups, the recurrence rate, middle ear cavity There was significant difference in duration of effusion (P <0.05). There was no significant difference between the two groups in complete healing time (P> 0.05). Conclusion: In the postoperative recurrence rate and shorten the time of middle ear effusion, tympanic membrane catheter combined with adenoidectomy in children with recurrent OME has a significant effect.