CAJ | 학술논문

目的：观察耳内窥镜下鼓膜置管联合鼻内镜下腺样体切除治疗儿童分泌性中耳炎的临床疗效。方法：选择87例(102耳)分泌性中耳炎患者，随机将其分为观察组(45例，55耳)和对照组(42例，47耳)。观察组采用鼓膜置管虹吸引流法联合腺样体切除术进行治疗，对照组仅单独采用鼓膜置管虹吸引流术治疗，记录两组患者的术后并发症资料，离院后6个月和12个月的听觉情况。结果：两组患者在治疗6个月和12个月后有效率比较，其差异具有统计学意义(x2＝5.705， x2=7.460；P＜0.05)；两组在中耳积液时间相比，其差异无统计学意义(t=7.662，P＞0.05)；两组复发耳数及感染耳数相比，差异具有统计学意义(x2＝4.197，x2＝4.752；P＜0.05)。结论：采用耳内窥镜下鼓膜置管虹吸引流法联合腺样体切除术能够有效减少患者的术后并发症，具有见效快、损伤小等优点，有较高的近期和远期疗效，值得临床推广应用。
목적：관찰이내규경하고막치관연합비내경하선양체절제치료인동분비성중이염적림상료효。방법：선택87례(102이)분비성중이염환자，수궤장기분위관찰조(45례，55이)화대조조(42례，47이)。관찰조채용고막치관홍흡인류법연합선양체절제술진행치료，대조조부단독채용고막치관홍흡인류술치료，기록량조환자적술후병발증자료，리원후6개월화12개월적은각정황。결과：량조환자재치료6개월화12개월후유효솔비교，기차이구유통계학의의(x2＝5.705， x2=7.460；P＜0.05)；량조재중이적액시간상비，기차이무통계학의의(t=7.662，P＞0.05)；량조복발이수급감염이수상비，차이구유통계학의의(x2＝4.197，x2＝4.752；P＜0.05)。결론：채용이내규경하고막치관홍흡인류법연합선양체절제술능구유효감소환자적술후병발증，구유견효쾌、손상소등우점，유교고적근기화원기료효，치득림상추엄응용。
Objective:To evaluate efficacy of tympanic membrane PE tube placement combined with oral endoscopic adenoidectomy in treating otitis media with effusion(OME) in children. Methods:Selected 87 cases(102ears)patients of secretory otitis media as research subjects between January 2012 to August 2014, in department of Otolaryngology in Heilongjiang Province, randomly divided into observation group(45cases, 55ears) and control group(42cases, 47ears),observation group used tympanostomy tube siphon drainage method combined with adenoidectomy for treatment, control group alone tympanostomy tube siphon drainage therapy, postoperative complications recorded data of patients later from the hospital after six and twelve months. Results:Two groups of patients after six months treatment and after twelve months(x2=5.705, x2=7.460;P<0.05), the results were statistically significant(P<0.05);in the middle ear effusion time, recurrent ear number, the number of ear infections, the results were also statistically significant(t=7.662, x2=4.197, x2=4.752;P<0.05). Conclusion:Under the ear drum using endoscopic drainage siphon tube method combined with adenoidectomy can effectively reduce postoperative complications in patients with quick, injury, etc, with high short-term and long-term efficacy, worthy application.