邮件订阅 RSS

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

儿童分泌性中耳炎的外科治疗

王珍,  余蓉,  高子淇,  祝小莉,  杨华,  陈晓巍

downloadPDF
文章导航 > 协和医学杂志  > 2012 >  3(2): 166-169
王珍, 余蓉, 高子淇, 祝小莉, 杨华, 陈晓巍. 儿童分泌性中耳炎的外科治疗[J]. 协和医学杂志, 2012, 3(2): 166-169. doi: 10.3969/j.issn.1674-9081.2012.02.008
引用本文: 王珍, 余蓉, 高子淇, 祝小莉, 杨华, 陈晓巍. 儿童分泌性中耳炎的外科治疗[J]. 协和医学杂志, 2012, 3(2): 166-169. doi: 10.3969/j.issn.1674-9081.2012.02.008
shu
Zhen WANG, Rong YU, Zi-qi GAO, Xiao-li ZHU, Hua YANG, Xiao-wei CHEN. Surgical Treatment of Otits Media with Effusion in Children[J]. Medical Journal of Peking Union Medical College Hospital, 2012, 3(2): 166-169. doi: 10.3969/j.issn.1674-9081.2012.02.008
Citation: Zhen WANG, Rong YU, Zi-qi GAO, Xiao-li ZHU, Hua YANG, Xiao-wei CHEN. Surgical Treatment of Otits Media with Effusion in Children[J]. Medical Journal of Peking Union Medical College Hospital, 2012, 3(2): 166-169. doi: 10.3969/j.issn.1674-9081.2012.02.008
shu

儿童分泌性中耳炎的外科治疗

doi: 10.3969/j.issn.1674-9081.2012.02.008
  • 1.

    中国医学科学院 北京协和医学院 北京协和医院耳鼻咽喉科, 北京 100730

  • 2.

    航天七三一医院耳鼻咽喉科, 北京 100074

详细信息
    通讯作者:

    陈晓巍 电话:010-69156312, E-mail:chenxw_pumch@yahoo.com.cn

  • 中图分类号: R764.21;R729

Surgical Treatment of Otits Media with Effusion in Children

  • 1.

    Department of Otorhinolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    Department of Otorhinolaryngology, Aerospace 731 Hospital, Beijing 100074, China

More Information

    摘要
  • 摘要:   目的  比较儿童分泌性中耳炎常用手术方式的临床疗效。  方法  选取北京协和医院2009年1月至2011年9月收治的儿童分泌性中耳炎临床资料完整患者36例(63耳), 按手术方式分为3组, 分别为鼓膜置管、腺样体切除和鼓膜置管+腺样体切除, 分析不同手术方式患儿术后听力康复情况。  结果  术后36例患儿、63耳听力均有提高, 44耳治愈, 19耳改善。行鼓膜置管、腺样体切除或鼓膜置管+腺样体切除3种手术方式, 治愈率差异无统计学意义。  结论  鼓膜置管是分泌性中耳炎的首选外科治疗方法, 腺样体切除和鼓膜置管+腺样体切除治疗在适应证恰当时也有很好的效果, 外科治疗方式的选择需要个体化。
    Abstract:   Objective  To summarize the effect in the surgical treatment of pediatric otitis media with effusion (OME).  Methods  The clinical data of 36 pediatric cases of OME who were hospitalized in our department from January 2009 to September 2011 were retrospectively analyzed. Patients were divided into 3 groups:ventilation tube placement, adenoidectomy, and ventilation tube placement + adenoidectomy.  Results  The conditions were improved in all 36 patients (63 ears), among which 44 ears were completely cured and 19 improved. Patients were treated with different surgical procedures including ventilation tube placement, adenoidectomy, and ventilation tube placement + adenoidectomy, and the outcomes showed no significant difference.  Conclusions  Ventilation tube placement is the preferred surgical treatment for OME. Adenoidectomy and adenoidectomy + ventilation tube placement also show good effectiveness. Surgical treatment for pediatric OME should be individualized.
    • HTML全文

  • 表  1  手术类型与术后听力恢复

    手术方式 听力恢复(耳) 治愈 改善(耳)
    耳 %
    鼓膜置管 9 8 88.9 1
    腺样体切除 24 19 79.2 5
    鼓膜置管+腺样体切除 28 17 60.7 11
    合计 61 44 72.1 17
    下载: 导出CSV
    • 参考文献(18)
  • [1] Rosenfeld RM, Culpepper L, Doyle KJ, et al. Clinical practice guideline:otitis media with effusion[J]. Otolaryngol Head Neck Surg, 2004, 130:S95-S118. doi:  10.1016/j.otohns.2004.02.002
    [2] Hughes GB, Pensak ML. Clinical otology[M]. 3rd ed. New York: Thieme, 2008: 223-233.
    [3] Corbeel L. What is new in otits media?[J]. Eur J Pediatr, 2007, 166:511-519. doi:  10.1007/s00431-007-0461-8
    [4] Casselbrant ML, Mandel EM, Rockette HE. Adenoidectomy for otitis media with effusion in 2-3-year-old children[J]. Int J Pediatr Otorhinolaryngol, 2009, 73:1718-1724. doi:  10.1016/j.ijporl.2009.09.007
    [5] Gates GA, Avery CA, Prihoda TJ, et al. Effectiveness of adenoidectomy and tympanostomy tubes in the treatment of chronic otitis media with effusion[J]. N Engl J Med, 1987, 317:1444-1451. doi:  10.1056/NEJM198712033172305
    [6] 中华耳鼻咽喉头颈外科杂志编辑委员会, 中华医学会耳鼻咽喉头颈外科学分会小儿学组.儿童中耳炎诊断和治疗指南(草案)[J].中华耳鼻咽喉头颈外科杂志, 2008, 43:884-885. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhebyhk200812002
    [7] Davies-Husband CR, Harker C, Davison T, et al. Post-surgical tympanostomy tube follow up with audiology:experience at the Freeman Hospital[J]. J Laryngol Otol, 2011, 11:1-5.
    [8] van Heerbeek N, Ingels KJ, Snik AF, et al. Eustachian tube function in children after insertion of ventilation tubes[J]. Ann Otol Rhinol Laryngol, 2001, 110:1141-1146. doi:  10.1177/000348940111001211
    [9] Paradise JL, Feldman HM, Campbell TF, et al. Effects of early or delayed insertion of tympanostomy tubes for persistent otitis media on developmental outcomes at the age of three years[J]. N Engl J Med, 2001, 344:1179-1187. doi:  10.1056/NEJM200104193441601
    [10] Paracise JL, Dollaghan CA, Campbell TF, et al. Otitis media in 2253 pittsburgh-area infants:prevalence and risk factors during the first two years of life[J]. Pediatrics, 1997, 99:318-333. doi:  10.1542/peds.99.3.318
    [11] Vlastarakos PV, Nikolopouls TP, Korres S, et al. Grommets in otitis media with effusion:the most frequent operation in children. But is it associated with significant complications?[J]. Eur J Pediatr, 2007, 166:385-389. doi:  10.1007/s00431-006-0367-x
    [12] 龚树生.重视循证医学研究, 提高儿童分泌性中耳炎的诊疗水平[J].中国耳鼻咽喉头颈外科, 2007, 14:449-450. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=ebyhtjwk200708001
    [13] Mattila PS. Adenoidectomy and tympanostomy tubes in the management of otitis media[J]. Curr Allergy Asthma Rep, 2006, 6:321-326. doi:  10.1007/s11882-006-0067-7
    [14] Boston M, McCook J, Burke B, et al. Incidence of and risk factors for additional tympanostomy tube insertion in children[J]. Arch Otolaryngol Head Neck Surg, 2003, 129:293-296.
    [15] Coyte PC, Croxford R, McIsaac W, et al. The role of adjuvant adenoidectomy and tonsillectomy in outcome of the insertion of tympanostomy tubes[J]. N Engl J Med, 2001, 344:1188-1195. doi:  10.1056/NEJM200104193441602
    [16] 祝小莉, 杨华, 陈晓巍, 等.低温等离子刀辅助内镜下儿童扁桃体和腺样体切除术临床效果分析[J].临床耳鼻咽喉头颈外科杂志, 2011, 25:251-253. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=lcebyhkzz201112008
    [17] Nguyen LH, Manoukian JJ, Yoskovitch A, et al. Adenoidectomy:selection criteria for surgical cases of otitis media[J]. Laryngoscope, 2004, 114:863-866. doi:  10.1097/00005537-200405000-00014
    [18] Paradise JL, Bluestone CD, Colborn DK, et al. Adenoidectomy and adenotonsillectomy for recurrent acute otitis media:parallel randomized clinical trials in children not previously treated with tympanostomy tubes[J]. JAMA, 1999, 282:945-953. doi:  10.1001/jama.282.10.945
    • 相关文章
    • 施引文献
  • 资源附件(0)
  • 加载中
WeChat 点击查看大图
表(1)
计量
  • 文章访问数:  186
  • HTML全文浏览量:  56
  • PDF下载量:  3
  • 被引次数: 0
出版历程
  • 收稿日期:  2011-12-28
  • 刊出日期:  2012-04-30

目录

    /

    返回文章
    返回
    友情链接: 国家卫生健康委员会 北京协和医院 中国医学科学院 学术不端检测系统 国际知识资源总库 中国知网 术语在线 中国全科医学
    地址：北京市东城区帅府园1号 北京协和医院老楼7号楼
    3层302室 《协和医学杂志》编辑部
    电话：010-69154261/4262
    E - mail：medj@pumch.cn
    mjpumch@126.com
    期刊网站版权所有：《协和医学杂志》编辑部
    京ICP备 11002662

    本系统由 北京仁和汇智信息技术有限公司 开发    百度统计

    x 关闭 永久关闭

    【温馨提醒】近日，《协和医学杂志》编辑部接到作者反映，有多名不法人员冒充期刊编辑发送见刊通知，鼓动作者添加微信，从而骗取版面费的行为。特提醒您，本刊与作者联系的方式均为邮件通知或电话，稿件进度通知邮箱为：mjpumch@126.com，编辑部电话为：010-69154261，请提高警惕，谨防上当受骗！如有任何疑问，请致电编辑部核实。谢谢！