CAJ | 학술논문

　　目的探讨不伴腺样体肥大婴幼儿分泌性中耳炎的发病原因。方法回顾分析2000-2012年解放军总医院耳鼻喉头颈外科住院收治23例(36耳)6岁婴幼儿分泌性中耳炎(排除腺样体肥大)的临床资料。结果23例(36耳)中伴有鼻窦炎者6例(26.1%)，5例发病前有急性上感病史(21.7%)，伴有乳突气化不良者3例(13.0%)，伴有外耳、中耳畸形者3例(13.0%)，伴原发性纤毛运动障碍1例(4.3%)，5例未发现明显解剖结构异常或相关病灶存在。5例患儿分泌性中耳炎发作≥2次。结论婴幼儿分泌性中耳炎常见病因为腺样体肥大、上呼吸道感染、鼻窦炎，原发性纤毛运动障碍值得注意。
　　목적탐토불반선양체비대영유인분비성중이염적발병원인。방법회고분석2000-2012년해방군총의원이비후두경외과주원수치23례(36이)6세영유인분비성중이염(배제선양체비대)적림상자료。결과23례(36이)중반유비두염자6례(26.1%)，5례발병전유급성상감병사(21.7%)，반유유돌기화불량자3례(13.0%)，반유외이、중이기형자3례(13.0%)，반원발성섬모운동장애1례(4.3%)，5례미발현명현해부결구이상혹상관병조존재。5례환인분비성중이염발작≥2차。결론영유인분비성중이염상견병인위선양체비대、상호흡도감염、비두염，원발성섬모운동장애치득주의。
Objective To study the causes of secretory otitis media (SOM) in infants without adenoid hypertrophy. Methods Clinical data about 23 infants (36 ears) with SOM (adenoid hypertrophy was excluded) admitted to our department from 2000 to 2012 were retrospectively analyzed. Results Of the 23 infants, 6 (26.1%) were diagnosed with nasal sinusitis, 5 (21.7%) were found with a history of acute upper respiratory tract infection before SOM, 3 (13.0%) were diagnosed with bad mastoid pneumatization and congenital malformation of the external and middle ear, 1 (4.3%) with primary ciliary dyskinesia, 5 (21.7%) were found to have no clear abnormal structure and other lesions, and 5 (21.7%) were diagnosed with recurrent SOM. Conclusion The common causes of SOM in infants are adenoid hypertrophy, acute upper respiratory tract infection, nasal sinusitis and primary ciliary dyskinesia.