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目的 强调腺样体刮除术在分泌性中耳炎治疗中的重要性。方法 回顾性分析 1998~2 0 0 0年经鼻内窥镜检查确诊为分泌性中耳炎伴腺样体肥大患者 3 0例 ,全部病人均行腺样体刮除术 ,部分病人行耳膜置管术。结果 腺样体刮除术后耳闷堵症状消失 ,听力恢复正常 ,随访 1年未见复发。结论 腺样体肥大是导致分泌性中耳炎的重要致病因素之一 ,对儿童患者必须常规做鼻咽部检查 ,以免漏诊 ,延误治疗。腺样体刮除术对治疗分泌性中耳炎是安全、有效、经济的方法之一。
Objective To emphasize the importance of adenoid curettage in the treatment of secretory otitis media. Methods A retrospective analysis of 30 cases of secretory otitis media with adenoid hypertrophy confirmed by endoscopic nasal endoscopy from 1998 to 2000 was performed. All the patients underwent adenoidectomy. Some patients underwent eardrum catheterization . Results Adenoidectomy ear symptoms of obstruction disappeared, hearing returned to normal, no follow-up of 1 year follow-up. Conclusions Adenoid hypertrophy is one of the most important causative agents of secretory otitis media. Nasopharyngeal examination must be done routinely in children so as to avoid misdiagnosis and delay of treatment. Adenoidectomy for the treatment of secretory otitis media is safe, effective and economical method.