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目的:探讨腺样体切除对儿童内分泌性中耳炎听力的影响。方法:选取我院2008年9月~2010年9月收治的180例内分泌性中耳炎患者,采用经鼻内镜腺样体切除术治疗的90例患者为治疗组,采用保守治疗的90例患者为对照组,回顾性分析其3个月的随访资料,比较两组患者的手术疗效、术后并发症以及治疗组各频率听阈变化情况。结果:治疗组患者显效61例,有效24例,总有效率为94.44%;对照组显效52例,有效22例,总有效率为82.22%,治疗组患者疗效明显优于对照组,两组比较,差异有统计学意义(P<0.05)。治疗组患者并发症发生率(8.89%)明显低于对照组(36.67%),两组比较,差异有统计学意义(P<0.05)。治疗组患者治疗后各频率听阈均明显上升,治疗前后比较,差异有统计学意义(P<0.05)。结论:鼻内镜下腺样体切除术治疗儿童分泌性中耳炎,疗效满意,并发症少,能显著提高患儿的生活质量,值得在临床推广应用。
Objective: To investigate the effect of adenoid excision on the hearing of children with endocrine otitis media. Methods: A total of 180 patients with endocrine otitis media who underwent endoscopic adenoidectomy in our hospital from September 2008 to September 2010 were enrolled as the treatment group. The 90 patients who received conservative treatment were Control group, retrospective analysis of its 3-month follow-up data were compared between the two groups of surgical efficacy, postoperative complications and the treatment group changes in the frequency of hearing threshold. Results: In the treatment group, 61 cases were markedly effective and 24 cases were effective. The total effective rate was 94.44%. In the control group, 52 cases were markedly effective and 22 cases were effective. The total effective rate was 82.22%. The curative effect of the treatment group was obviously better than that of the control group. , The difference was statistically significant (P <0.05). The incidence of complications in the treatment group (8.89%) was significantly lower than that in the control group (36.67%). There was significant difference between the two groups (P <0.05). After treatment, the hearing thresholds of all the patients in the treatment group were significantly increased, and the difference was statistically significant before and after treatment (P <0.05). Conclusion: Endoscopic adenoidectomy for children with secretory otitis media, with satisfactory results, fewer complications, can significantly improve the quality of life of children, it is worth in the clinical application.