目的：探讨小儿复发性分泌性中耳炎的预防和治疗。方法：分析５０例９０耳小儿复发性分泌性中耳炎临床治疗资料。结果：随访半年至５年，积液消失，语言听力提高１１至３５ｄＢ共７５耳；症状无改善，呈混合性聋５耳；积液复发，２次置管７耳，３次置管３耳。结论：术后随诊，预防上呼吸道感染，积极的病因治疗是预防本病复发的关键。治疗上应及早行鼓室置管术，伴腺样体病理性肥大者行腺样体切除术。 Objective: To investigate the prevention and treatment of recurrent secretory otitis media in children. Methods: Clinical data of 50 cases of 90 children with recurrent otitis media with effusion were analyzed. Results: Follow-up for six months to five years, effusion disappeared, language hearing increased by 11 to 35dB a total of 75 ears; no improvement in symptoms, mixed deafness 5 ears; effusion recurrence, 2 catheter 7 ears, 3 catheter 3 ears . Conclusion: Follow-up postoperatively, prevention of upper respiratory tract infection and positive etiological treatment are the keys to prevent recurrence of this disease. Treatment should be performed as soon as tympanic catheterization, with adenoid pathological hypertrophy adenoidectomy.