摘要
目的随访分析儿童分泌性中耳炎鼓膜置管后的状况。方法对2002年7月~2006年2月因分泌性中耳炎施行鼓膜置管的儿童共158例进行随访，实际回应预约随访者58例（104耳）。58例儿童随访时间为术后6月~4年，通过询问病史和耳镜检查，评估鼓膜置管对儿童鼓膜和中耳的影响。结果104耳中，鼓膜置管后并发症主要有鼓膜内陷（21.2%）、中耳感染（12.5%）、分泌性中耳炎复发（8.7%）、鼓膜硬化灶（11.5%）和穿孔未愈（4.8%）等。结论儿童分泌性中耳炎鼓膜置管后并发症较普遍，术后预防和规律的随访十分重要。
Objective To analyze the status of tympanic membranes （TMs） and middle ears after tympanostomy tube insertions in children with otitis media with effusion（ OME）. Methods From July 2002 to February 2006, tympanostomy tube insertions were performed on 158 children with OME in our hospital, of whom 58 （104 ears） were successfully followed up six months to four years after operation. Tympanostomy tube sequelae on TMs and middle ears were evaluated through case history review and otoscopy. Results The incidence of sequelae included TM retraction （21. 2% ） , middle ear infection （ 12. 5% ） , recurrence of OME （8. 7% ） , tympanosclerosis （11.5%） and perforation （4.8%）. Conclusion Tympanostomy tube sequelae are common in children with OME, and appropriate postoperative prevention measures and regular follow-ups are of great importance.
出处
《上海交通大学学报（医学版）》
CAS
CSCD
北大核心
2007年第1期33-34,38,共3页
Journal of Shanghai Jiao tong University:Medical Science
关键词
鼓膜置管
分泌性中耳炎
儿童
并发症
tympanostomy tube insertion
otitis media with effusion, children
sequelae
