Abstract:【Objective】To investigate the effect of tympanic membrane occlusion and combined gland resection on the clinical efficacy of children with secretory otitis media. 【Methods】A retrospective analysis of 87 children (127 ears) of children with secretory otitis media admitted to our hospital from January 2014 to February 2017 was performed. Among them, 45 cases (65 ears) underwent tympanic catheterization as a control group. A total of 42 cases (62 ears) treated with tympanic membrane occlusion and gland resection were observed. Clinical total curative effect, frequency band air conduction, average hearing valve and middle ear effusion time and recurrence rate, and infection rate in the two groups were compared. 【Results】The total clinical efficacy of the observation group was higher than that of the control group (P<0.05). There was no significant difference in the mean frequency of the airway in the two groups (P>0.05). The time of the ear effusion in the observation group was significantly shorter than that in the control group (P<0.05). There was no significant difference in the infection rate and recurrence rate between the two groups (P>0.05). After 1 year of operation, the infection rate and recurrence rate of the observation group were lower than those of the control group (P<0.05). 【Conclusion】The tympanic tympanostomy combined with gland resection for the treatment of children with secretory otitis media is effective, which can improve the average frequency of air conduction in the patient's speech frequency zone, reduce the time of middle ear effusion, and promote the rehabilitation of patients. The recurrence rate and infection rate are relatively low, and the long-term efficacy is significant. So, it is worth promoting.
殷显辉, 邹剑. 耳镜下鼓膜置管术联合腺样体切除术治疗儿童分泌性中耳炎的疗效[J]. 医学临床研究, 2019, 36(6): 1081-1083.
YIN Xian-hui, ZOU Jian. Comparative Study of Tympanic Membrane Occlusion and Combined Gland Resection in Children with Secretory Otitis Media. JOURNAL OF CLINICAL RESEARCH, 2019, 36(6): 1081-1083.
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