临床小儿外科杂志
臨床小兒外科雜誌
림상소인외과잡지
JOURNAL OF CLINICAL FEDIATRIC SURGERY
2014年
6期
550-551
,共2页
鼻窦炎%中耳炎%测听法,纯音%儿童
鼻竇炎%中耳炎%測聽法,純音%兒童
비두염%중이염%측은법,순음%인동
Sinusitis%Otitis Media%Audiometry,Pure-Tone%Child
目的通过观察分析儿童急性鼻—鼻窦炎纯音测听和声导抗异常，初步探讨急性鼻—鼻窦炎导致分泌性中耳炎的因素。方法通过观察61例（122耳）急性鼻—鼻窦炎患儿的纯音测听和声导抗检查判定是否合并分泌性中耳炎，并分析治疗前后检查结果的变化。结果61例患儿中，纯音测听和声导抗异常者15例（26耳），其中变应性鼻炎组7例（12耳），急性鼻—鼻窦炎组8例（14耳），治疗2周后26耳全部听力恢复正常，声导抗由 B 型转为 A 型。随访3个月，未见复发。结论部分儿童急性鼻—鼻窦炎患儿纯音测听和声导抗结果存在异常，有分泌性中耳炎的可能，早期治疗可阻断分泌性中耳炎发展。
目的通過觀察分析兒童急性鼻—鼻竇炎純音測聽和聲導抗異常，初步探討急性鼻—鼻竇炎導緻分泌性中耳炎的因素。方法通過觀察61例（122耳）急性鼻—鼻竇炎患兒的純音測聽和聲導抗檢查判定是否閤併分泌性中耳炎，併分析治療前後檢查結果的變化。結果61例患兒中，純音測聽和聲導抗異常者15例（26耳），其中變應性鼻炎組7例（12耳），急性鼻—鼻竇炎組8例（14耳），治療2週後26耳全部聽力恢複正常，聲導抗由 B 型轉為 A 型。隨訪3箇月，未見複髮。結論部分兒童急性鼻—鼻竇炎患兒純音測聽和聲導抗結果存在異常，有分泌性中耳炎的可能，早期治療可阻斷分泌性中耳炎髮展。
목적통과관찰분석인동급성비—비두염순음측은화성도항이상，초보탐토급성비—비두염도치분비성중이염적인소。방법통과관찰61례（122이）급성비—비두염환인적순음측은화성도항검사판정시부합병분비성중이염，병분석치료전후검사결과적변화。결과61례환인중，순음측은화성도항이상자15례（26이），기중변응성비염조7례（12이），급성비—비두염조8례（14이），치료2주후26이전부은력회복정상，성도항유 B 형전위 A 형。수방3개월，미견복발。결론부분인동급성비—비두염환인순음측은화성도항결과존재이상，유분비성중이염적가능，조기치료가조단분비성중이염발전。
Objetive To investigate the factors of acute nose-sinusitis,which could lead to secretory oti-tis media by observing the abnormal pure tone audiometry and acoustic immittance in children that with acute nose-sinusitis. Methods To estimate whether 61 cases (122 ears)with acute nose-sinusitis in children merg-er with secretory otitis media by observing pure tone audiometry and acoustic immittance,and analyze the change of the test results before and after the treatment.Results There were 15 cases (26 ears)in abnormal, including 7 cases (12 ears)allergic rhinitis and 8 cases (14 ears)acute nose-sinusitis group,26 ears recov-ered to normal hearing,acoustic immittance changed from type B to type A.All cases received a follow-up of 3 months,no recurrence occurred. Conclusion Part of the children’s pure tone audiometry and acoustic immit-tance are abnormal,which could lead to secretory otitis media.The early treatment could block the develop-ment of secretory otitis media.
