中国听力语言康复科学杂志Issue(2)：99-101,3.DOI:10.3969/j.issn.1672-4933.2014.02.006
婴幼儿分泌性中耳炎早期诊断及手术干预
The Early Diagnosis and Surgical Intervention for Secretory Otitis Media in Infants
摘要
Abstract
Objective To explore the early diagnosis and surgical intervention for secretory otitis media in infants. Methods Forty-three infants were diagnosed with secretory otitis media by 226 Hz and 1000 Hz acoustic immitance, auditory brainstem response, auditory steady-state responses, distortion products OAE with temporal bone CT and did not recover in 4-6 months. These infants were divided into surgical intervention group (22 cases) and observation group (21 cases). The surgical intervention group was treated with tympanostomy tube under general anesthesia and the observation group only received family-based hearing and speech rehabilitation. All the patients were followed up for 6-12 months to examine the hearing conditions and the incidence of acute otitis media was calculated within 12 months. Results All of the 43 infants had different degrees of abnormality in 226 Hz and 1000 Hz acoustic immitance, auditory brainstem response, auditory steady-state responses,distortion products OAE and temporal bone CT. The average hearing threshold of surgical intervention group was significantly lower than that of the observation group. The incidence of acute otitis media in one year was significantly lower than that of the observation group. Conclusion The surgical intervention can help to alleviate the hearing loss of chronic secretory otitis media in infants and can reduce the incidence of acute otitis media.关键词
分泌性中耳炎/诊断/听力损失/鼓膜置管/婴幼儿Key words
Secretory otitis media/Diagnose/Hearing loss/Tympanostomy tube/Infant引用本文复制引用
王素芳,韩富根,僧东杰,王燕楠..婴幼儿分泌性中耳炎早期诊断及手术干预[J].中国听力语言康复科学杂志,2014,(2):99-101,3.
