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目的探讨儿童分泌性中耳炎(secretory otitis media SOM)的病因及最佳治疗方案。方法对2002年3月以来我科诊治的SOM伴腺样体肥大59例(98耳)患儿,随机分为两组施以不同的治疗方法:综合治疗组采用腺样体切除+鼓膜切开置管+药物治疗;对照组采用鼓膜切开置管+药物。结果综合治疗组32例(57),治愈49耳,好转6耳,无效2耳,有效率96.49%;对照组27例(46耳),治愈32耳,好转7耳,无效7耳,有效率84.78%。二组SOM患儿临床治疗有效率显著差异(χ2=4.88,P<0.05)。结论综合治疗(腺样体切除+鼓膜置管+药物)是预防儿童SOM复发的关键。
Objective To investigate the etiology and treatment of secretory otitis media (SOM) in children. Methods 59 cases (98 ears) of SOM with adenoid hypertrophy diagnosed and treated in our department since March 2002 were randomly divided into two groups with different treatment methods: the combined treatment group was adenoidctomy + tympanotomy Catheter + drug treatment; control group using tympanostomy tube + drug. Results In the comprehensive treatment group, 32 cases (57) were cured, 49 ears were cured, 6 ears were improved, 2 ears were ineffective, and the effective rate was 96.49%. In control group, 27 cases (46 ears) cured 32 ears, 7 ears improved, 84.78%. The two groups of SOM clinical treatment of children was significantly different (χ2 = 4.88, P <0.05). Conclusion Comprehensive treatment (adenoidctomy + tympanic membrane catheter + drug) is the key to prevent recurrence of SOM in children.