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目的:探讨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的临床疗效.方法:以我院2012年1月~2012年12月收治的分泌性中耳炎伴腺样体肥大的患儿41耳为治疗组,以2010年1月~2010年12月收治的分泌性中耳炎伴腺样体肥大的患儿40耳为治疗组.对照组给予鼓膜置管术;治疗组给予鼓膜置管联合腺样体切除术,比较2组疗效.结果:治疗组治愈率高于对照组,差异具有统计学意义,P<0.05;治疗组好转率低于对照组,差异具有统计学意义,P0.05;2组术后并发症发生率的差异没有统计学意义.结论:对腺样体肥大的分泌性中耳炎患儿,同期行鼓膜置管和腺样体切除术,并发症少,能有效促进患者的康复.“,”Objective:To investigate the effect of endoscopic tympanotomy tube combined with adenoidectomy for secretory otitis media in children.Methods:41 ears of secretory otitis media in children with adenoid hypertrophy were as the therapeutic group from January to December in 2012 in our hospital.40 ears of secretory otitis media in children with adenoid hypertrophy were as the control group from January to December in 2010.The therapeutic group was gave endoscopic tympanotomy tube combined with adenoidectomy.The control group was gave the endoscopic tympanotomy tube.We compared the effect in 2 groups.Results:The curable rate in therapeutic group was higher than the the control group.The difference was statisticaly significant (P<0.05).The rate of improvement in therapeutic group was lower than the the control group.The difference was statisticaly significant (P<0.05).The rate of infficiency in 2 groups had not statisticaly significant in 2 groups.The incidence rate of postoperative complication had not statisticaly significant in 2 groups.Conclusion:It can effectively improve the efficacy and had few postoperative complication that we give endoscopic tympanotomy tube combined with adenoidectomy for secretory otitis media in children with adenoid hypertrophy.