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学科主题: 耳鼻咽喉科学
题名:
儿童分泌性中耳炎的外科手术干预
其他题名: Surgical intervention for otitis media with effusion in children
作者: 潘滔; 马芙蓉; 柯嘉
关键词: 听力筛查 ; 分泌性中耳炎 ; 手术干预 ; Hearing screening ; Otitis media with effusion ; Surgical intervention
刊名: 中华耳科学杂志
发表日期: 2009
DOI: 10.3969/j.issn.1672-2922.2009.02.004
卷: 7, 期:2, 页:121-125
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 探讨儿童分泌性中耳炎的手术干预方式,为儿童听力筛查中分泌性中耳炎患儿的干预措施选择提供临床资料.方法 总结2004-2008年我院90例儿童分泌性中耳炎接受手术治疗且资料完整者45例(82耳)的年龄特点、听力下降时间、手术方式、手术前后听力状况比较.结果 术前平均纯音听阈PTA(pure-tone threshold average,500 Hz,1 000 Hz,2 000 Hz,4 000 Hz听阈均值)从8 dB HL~61 dB HL,平均(34.8±12.09)dBHL.术后PTA从0 dB HL~38 dB HL,平均(15.9±7.88)dB HL,3耳术后听阈提高,4耳无改善,75耳听阈降低,占91.5%,平均听阈降低18.9 dB HL.手术方式:鼓膜置管术9例,腺样体切除+鼓膜置管术29例,腺样体切除+扁桃体切除+鼓膜置管术7例.结论 腺样体切除+鼓膜置管术是我们治疗儿童分泌性中耳炎的基本术式;扁桃体切除术不作为治疗分泌性中耳炎常规选择;对儿童分泌性中耳炎的术式选择应该个体化. Objective To review surgically treated pediatric otitis media with effusion(OME)cases for better understanding of surgical intervention and hearing screening in such cases.Methods From 90 OME cases surgically treated between 2004 and 2008,45(82 ears)with complete clinical data were reviewed for their age distribution,hearing loss duration,surgical techniques and pre-and post-operative hearing data.Results The PTA over 500,1 000,2 000 and4000 Hz improved from 34.8±12.09 dB HL pre-operatively to 15.9±7.88 dB HLpost-operativelyt.Post-operative hearing improved in 75 ears(91.5%),remained unchanged in 4 ears and deteriorated in 3 ears.Conclusion Adenoidectomy and ventilation tube placement are basic surgical treatments for OME in children.Tonsillectomy should not be a routine treatment option for pediatric OME patients.Surgical management for OME in children should be individualized.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/69142
Appears in Collections:北京大学第三临床医学院_耳鼻喉科_期刊论文

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作者单位: 北京大学第三医院耳鼻喉科,北京,100191

Recommended Citation:
潘滔,马芙蓉,柯嘉. 儿童分泌性中耳炎的外科手术干预[J]. 中华耳科学杂志,2009,7(2):121-125.
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