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目的 探讨腭裂伴渗出性中耳炎患儿的联合治疗。方法 比较 38例 (49侧耳 )单纯性腭裂修复术与 2 4例 (39侧耳 )腭裂修复同期行鼓膜切开、PE管置入术对中耳积液的消除及听力的影响 ,并对置管术的适应证、操作要点、并发症的防治进行讨论。结果 腭裂修复同期鼓膜切开置管组术后 6月 4 8 7%的患耳中耳积液消失 ,明显高于单纯腭裂修复组。听力损害的患儿置管后听力平均提高 17dB。结论 有中耳积液的腭裂患儿在腭裂修复术同期行鼓室切开、PE管置入术 ,有助于改善患儿的中耳功能。
Objective To investigate the combined treatment of children with cleft palate and exudative otitis media. Methods 38 cases (49 ears) of pure cleft palate repair and 24 cases (39 ears) cleft palate repair the same period underwent tympanotomy, PE tube placement on the elimination of middle ear effusion and hearing effects, and the catheter Surgery indications, operating points, prevention and treatment of complications to be discussed. Results Cleft palate repair during the same period of tympanotomy tube group after operation 47.8% of the ear ear effusion disappeared, significantly higher than the group of cleft palate repair. Hearing impaired children after hearing the average increase of 17dB. Conclusions Children with cleft palate with middle ear effusion underwent tympanotomy in the same period of cleft palate repair and PE tube placement was helpful to improve the middle ear function in children.