中华耳科学杂志Issue(1)：106-108,3.DOI:10.3969/j.issn.1672-2922.2014.01.026
小儿腺样体肥大与分泌性中耳炎
Adenoid vegetation and secretory otitis media in children
高永平 1田从哲 1刘会清 1孟胜环 1刘海燕2
作者信息
- 1. 河北大学附属医院耳鼻喉科 保定 071000
- 2. 河北大学附属医院神经外科 保定 071000
- 折叠
摘要
Abstract
Objective To study the relationship between adenoid vegetation and secretory otitis media in children and its diagnosis. Methods A retrospective study was carried out among 328 children with adenoid vegetation (both simple ade-noid vegetation and those associated with chronic tonsillitis and tonsillar hypertrophy) treated from August 2010 to May 2012. The incidence of secretory otitis media and the rate of positive diagnostic tympanometry were analyzed. Results Secre-tory otitis media was diagnosed in 105 cases (32.31%) by tympanic membrane puncture or tympanostomy tube. Tympano-gram was type B in 89 cases (152 ears), of which secretory otitis media was confirmed in 86 cases (147 ears) yielding a posi-tive rate of 96.63%(147/152). Tympanogram was type C in 33 cases (49 ears), of which the diagnosis of secretory otitis me-dia was confirmed in 16 cases (20 ears), yielding a positive rate of 40.82%(20/49). The diagnosis of secretory otitis media was also confirmed in 2 cases (2 ears) with type As tympanograms. Conclusions Complaint of hearing loss or not, children with adenoid vegetation should be checked with routine tympanometry. Careful physical examination, electric otoscopy or ear endoscopy combined with tympanometry can greatly reduce the rate of missed diagnosis of secretory otitis media.关键词
腺样体肥大/分泌性中耳炎/声导抗Key words
Adenoidal hypertrophy/Secretory otitis media/Tympanometry分类
医药卫生引用本文复制引用
高永平,田从哲,刘会清,孟胜环,刘海燕..小儿腺样体肥大与分泌性中耳炎[J].中华耳科学杂志,2014,(1):106-108,3.
