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目的分析儿童分泌性中耳炎的发病原因及治疗体会。方法回顾性分析62例儿童分泌性中耳炎患者的诊断治疗过程,采用全身应用抗生素、激素,局部用减充血剂及类固醇激素鼻喷雾剂,咽鼓管吹张等常规治疗,部分能合作的患儿行鼓膜穿刺抽液。对24例伴有腺样体肥大、慢性扁桃体炎、慢性鼻窦炎的患儿中15例进行了病因治疗。结果38例无腺样体肥大等并发症的患儿经常规治疗1~3周,34例治愈(89.47%),4例好转(10.53%)。24例有并发慢性鼻窦炎慢性扁桃体炎或腺样体肥大的患儿,15例经常规治疗和去除病因治疗,12例治愈(80%),3例好转(20%),9例未进行病因治疗的患儿中,5例治愈(55.56%),3例好转(33.33%),1例无效(11.11%)。结论儿童分泌性中耳炎的病因与上呼吸道感染、腺样体肥大、慢性扁桃体炎、慢性鼻窦炎等导致咽鼓管阻塞及清洁廓清功能异常有关,病因治疗是提高疗效和减少复发的关键。
Objective To analyze the etiology and treatment of secretory otitis media in children. Methods A retrospective analysis of 62 cases of children with secretory otitis media diagnosis and treatment process, the use of systemic antibiotics, hormones, topical decongestants and steroid hormone nasal spray, Eustachian tube blowing conventional treatment, some children can cooperate Line tympanic membrane pumping fluid. Twenty-four patients with adenoid hypertrophy, chronic tonsillitis, and chronic sinusitis were treated for etiology. Results 38 cases of adenoid hypertrophy and other complications of conventional treatment of children 1 to 3 weeks, 34 cases were cured (89.47%), 4 cases improved (10.53%). Of the 24 children with chronic sinusitis complicated with chronic tonsillitis or adenoid hypertrophy, 15 were treated routinely and removed the cause of the disease, 12 were cured (80%), 3 were improved (20%), and 9 were unaffected Of the treated children, 5 were cured (55.56%), 3 were improved (33.33%) and 1 was ineffective (11.11%). Conclusion The causes of secretory otitis media in children are related to the abnormal eustachian tube obstruction and clean clearance due to upper respiratory tract infection, adenoid hypertrophy, chronic tonsillitis and chronic sinusitis. The etiological treatment is the key to improve curative effect and reduce recurrence.