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目的比较学龄前儿童分泌性中耳炎(OME)合并阻塞性睡眠呼吸暂停综合征(OSAS)患儿不同术式疗效。方法将2015年1—12月收治的学龄前儿童分泌性中耳炎(OME)合并阻塞性睡眠呼吸暂停综合征(OSAS)手术患儿66例,分为A组(小儿鼾症手术组:腺样体切除+扁桃体切除术),B组(小儿鼾症手术同时行鼓膜切开术),C组(小儿鼾症手术同时行鼓膜置管术),A组21例30耳,B组23例33耳,C组22例30耳,比较不同术式的治疗效果。结果术后3个月,A组疗效低于B、C组(P<0.05),B组与C组比较差异无统计学意义(P>0.05);术后12个月,A、B组疗效均低于C组(P<0.05),A组与B组比较差异无统计学意义(P>0.05),三组术后OSAS复发及耳部并发症发生情况差异无统计学意义(P>0.05)。结论学龄前儿童分泌性中耳炎(OME)合并阻塞性睡眠呼吸暂停综合征(OSAS)可共病共治,小儿鼾症手术同时行鼓膜置管术可取得较好疗效。
Objective To compare the efficacy of different surgical procedures in presurgical children with secretory otitis media (OME) complicated with obstructive sleep apnea syndrome (OSAS). Methods Sixty-six children with presurgical secretory otitis media (OME) and obstructive sleep apnea syndrome (OSAS) admitted from January 2015 to January 2015 were divided into group A (pediatric snoring group: adenoid C group (pediatric snoring surgery while tympanic membrane catheterization), A group of 21 cases of 30 ears, B group of 23 cases of 33 ears , 22 cases of C group 30 ears, compare the different surgical treatment. Results The efficacy of group A was lower than that of group B and C (P <0.05) at 3 months after operation, but there was no significant difference between group B and C (P> 0.05). After 12 months, the efficacy of group A and B (P <0.05). There was no significant difference between group A and group B (P> 0.05). There was no significant difference in OSAS recurrence and ear complication between the three groups (P> 0.05) ). Conclusion OME with obstructive sleep apnea syndrome (OSAS) can be co-managed in preschool children. Pediatric snoring surgery can be performed with tympanostomy simultaneously.