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目的对耳内镜下鼓膜置管联合腺样体切除术治疗儿童分泌性中耳炎临床疗效进行分析。方法 50例儿童分泌性中耳炎患儿随机分为A组与B组,各25例。A组采用单纯耳内镜下鼓膜置管治疗,B组采用耳内镜下鼓膜置管联合腺样体切除术治疗。比较两组患儿分泌性中耳炎治疗总有效率;积液持续存在时间、耳鸣耳闷消失时间、听力恢复正常时间、鼓膜愈合时间;治疗前后患儿听力相关指标的差异。结果 B组患儿治疗总有效率为96.00%,明显高于A组的76.00%,差异具有统计学意义(P<0.05)。治疗前两组听力相关指标比较差异无统计学意义(P>0.05)。治疗后两组听力相关指标均明显改善,且B组改善幅度更大,差异具有统计学意义(P<0.05)。B组患儿积液持续存在时间、耳鸣耳闷消失时间、听力恢复正常时间、鼓膜愈合时间均明显短于A组,差异具有统计学意义(P<0.05)。结论耳内镜下鼓膜置管联合腺样体切除术治疗儿童分泌性中耳炎临床疗效确切,可有效促进患儿临床症状消退,改善患儿听力水平,值得推广。
Objective To analyze the clinical efficacy of otoscopic endoscopic tympanic membrane catheterization combined with adenoidectomy in the treatment of children with secretory otitis media. Methods Fifty children with secretory otitis media were randomly divided into group A and group B, with 25 cases each. Group A was treated with simple endoscopic tympanic membrane catheterization, Group B with endoscopic tympanic membrane catheter combined with adenoidectomy. The total effective rate of secretory otitis media in both groups was compared. The duration of effusion, the disappearance of tinnitus, the normal time of hearing recovery, and the healing time of tympanic membrane were observed. The differences of hearing-related parameters in children before and after treatment were compared. Results The total effective rate of treatment group B was 96.00%, which was significantly higher than 76.00% in group A, the difference was statistically significant (P <0.05). There was no significant difference in hearing-related parameters between the two groups before treatment (P> 0.05). After treatment, the hearing-related parameters of both groups were significantly improved, and the improvement in group B was greater, the difference was statistically significant (P <0.05). The duration of effusion, the time of disappearance of tinnitus and ear, the normal time of hearing recovery and the healing time of tympanic membrane in group B were significantly shorter than those in group A, the difference was statistically significant (P <0.05). Conclusions The clinical effect of ear-assisted endoscopic tympanic membrane catheterization combined with adenoidectomy in the treatment of children with secretory otitis media is effective, which can effectively promote the clinical symptoms of children to subside and improve the hearing ability of children, which is worth promoting.