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目的探讨手术治疗儿童腺样体肥大对分泌性中耳炎的影响。方法回顾分析手术治疗的腺样体肥大患儿206例,其中并发分泌性中耳炎97例136耳,观察手术治疗前后鼓室功能图的变化。结果腺样体切除术后,并发分泌性中耳炎患者得到有效治疗,其中治愈103耳;好转19耳;复发或无明显改善14耳,慢性中耳炎反复发作12耳,持续病程超过2年。结论分泌性中耳炎的转归与腺样体肥大的程度及临床病程的持续时间有关,腺样体切除术有利于咽鼓管功能的恢复。
Objective To investigate the effect of surgical treatment of children with adenoid hypertrophy on secretory otitis media. Methods A retrospective analysis of surgical treatment of adenoid hypertrophy in children with 206 cases, including 97 cases of secretory otitis media, 136 ears, observe the change of tympanogram before and after surgery. Results After adenoidctomy, patients with secretory otitis media were effectively treated, of which 103 ears were cured; 19 ears were improved; 14 ears were recurrent or no improvement; 12 ears were recurrent chronic otitis media; and the course of disease was more than 2 years. Conclusions The outcome of secretory otitis media is related to the degree of adenoid hypertrophy and the duration of clinical course. Adenoid resection is helpful for the recovery of eustachian tube function.