CAJ | 학술논문

目的：比较腺样体切除与腺样体切除＋鼓室注射地塞米松治疗儿童慢性分泌性中耳炎的疗效。方法：将50例（共82耳）腺样体肥大引起的分泌性中耳炎患儿随机分成治疗组（45耳）和对照组（37耳），全麻鼻内镜下行腺样体等离子切除术，并对治疗组鼓室内注射0.5～2ml 地塞米松，所有患儿均随诊6个月，根据术后两组听力恢复情况进行疗效评定。结果：治疗组治愈38耳，有效5耳，无效2耳，总有效率为95.6％；对照组治愈28耳，有效3耳，无效6耳，总有效率为83.8％。治疗组疗效优于对照组，差异有统计学意义（P ＜0.05）。结论：腺样体切除＋鼓室注射地塞米松治疗腺样体肥大引起的儿童慢性分泌性中耳炎比单纯腺样体切除疗效好，值得临床推广应用。
목적：비교선양체절제여선양체절제＋고실주사지새미송치료인동만성분비성중이염적료효。방법：장50례（공82이）선양체비대인기적분비성중이염환인수궤분성치료조（45이）화대조조（37이），전마비내경하행선양체등리자절제술，병대치료조고실내주사0.5～2ml 지새미송，소유환인균수진6개월，근거술후량조은력회복정황진행료효평정。결과：치료조치유38이，유효5이，무효2이，총유효솔위95.6％；대조조치유28이，유효3이，무효6이，총유효솔위83.8％。치료조료효우우대조조，차이유통계학의의（P ＜0.05）。결론：선양체절제＋고실주사지새미송치료선양체비대인기적인동만성분비성중이염비단순선양체절제료효호，치득림상추엄응용。
Objective To compare the efficacy of adenoid gland resection and adenoidectomy +intratympanic dexamethasone in-jection in the treatment of children with chronic secretory otitis media.Methods 50 cases (82 ears)with adenoid hypertrophy induced secretory otitis media in children were randomly divided into treatment group and control group,general anesthesia nasal endoscopic ad-enoidectomy plasma resection for the treatment group,and dexamethasone intratympanic injection of 0.5ml ~2ml,all patients were followed up for 6 months after the operation,according to the two groups of hearing recovery efficacy evaluation.Results the treatment group:38 ears were cured,effective in 5 ears,2 ears,the total efficiency of 95.6%;control group:28 ears were cured,effective in 3 ears,6 ears is invalid,the total effective rate was 83.8%.The curative effect of treatment group was superior to the control group, P <0.05,the difference has statistical significance.Conclusion Adenoidectomy +intratympanic dexamethasone injection in the treat-ment of adenoid hypertrophy caused by chronic secretory otitis media in children than in adenoidectomy has good curative effect,worthy of clinical application.