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【目的】探讨耳鼻内窥镜在儿童耳鼻疾病诊疗中检查价值,为临床指导提供参考。【方法】对2008年6月-2010年6月有耳鼻疾患相关主诉的儿童1 260例行常规耳鼻内窥镜检查。【结果】57.38%的儿童进行了耳内窥镜检查,其中中耳炎361人,外耳湿疹110人,外耳道炎108人,耳耵聍93人,鼓膜外伤26人,外耳道异物25人。耳病在内窥镜下治疗共49人(耳耵聍33人,外耳道异物取出术16人),占总数的3.89%;42.62%的儿童进行了鼻内窥镜检查,其中鼻前庭炎85人,鼻出血86人,过敏性鼻炎133人,鼻窦炎91人,鼻疖肿41人,增殖体肥大44人,鼻异物27人,鼻外伤2人,扁桃体结石5人,鼻病治疗57人(鼻腔止血25人,鼻异物18人,鼻外伤修复14人),占总数的4.52%;【结论】耳鼻内窥镜检查儿童鼻腔及鼻咽部,耳病具有创伤小,操作简单,效率高等优点,可作为疑为耳鼻疾患的常规检查,并可在耳鼻内窥镜下,对一部分耳鼻疾患进行治疗。
【Objective】 To investigate the value of otoscopy in the diagnosis and treatment of ear and nose diseases in children and provide reference for clinical guidance. 【Methods】 From January 2008 to June 2010, 1 260 children with complaints about otorhinolaryngology were routinely performed otoscopy. 【Results】 57.38% of children underwent endoscopic sinus examinations, among which 361 were otitis media, 110 were external ear eczema, 108 were external auditory canal inflammation, 93 were otoscope, 26 were tympanic membrane trauma and 25 were external auditory canal foreign bodies. A total of 49 cases of ear diseases were treated under endoscopy (33 ears and 16 ears), accounting for 3.89% of the total. 42.62% of children had nasal endoscopy, of which 85 were nasal vestibulitis 86 nosebleeds, 133 allergic rhinitis, 91 sinusitis, 41 rhinosinusitis, 44 hypertrophy, 27 nasal foreign bodies, 5 nasal trauma, 5 tonsil calculus and 57 rhinitis patients Nasal hemostasis 25, nasal foreign body 18, nasal trauma repair 14), accounting for 4.52% of the total; [Conclusion] otolaryngology nasal and nasopharyngeal examination in children, ear trauma with small, simple operation, high efficiency , Can be used as a routine examination suspected of ear and nose disorders, and in the otorhinolaryngoscope, part of the otorhinolaryngology for treatment.