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目的:研究分析耳鼻喉科门诊学龄前儿童复发性分泌性中耳炎的就诊原因、疾病诊治、疗效综合因素,指导帮助家长及患儿了解疾病预防的重要性并及早诊治。方法:回顾性分析2007年1～12月门诊诊治的32例学龄前儿童复发性分泌性中耳炎患者的就诊原因、疾病诊治、疗效。结果:21例因为幼儿园查体,7例因患儿电视音量调大,3例耳痛,1例因扁桃体炎就诊。认为1次治疗痊愈为27例,5例认为有个体差异可能需多次治疗并复诊,4例家属认为疾病病因为上呼吸道感染。疾病发生的原因:上呼吸道感染17例,或同时伴有鼻窦炎12例,腺样体肥大11例,过敏性鼻炎3例。经门诊对症治疗21例A、As、C型;11例经住院行腺样体刮除及置管术后随访3～6月,18耳鼓室压图转为A、As、C型、2耳B型。听力恢复正常29例,2例轻度耳聋,1例重度耳聋。结论:学龄前儿童复发性分泌性中耳炎的发生原因为综合性,只有加强疾病的宣教,如发生原因、危害等,及早发现、诊治,才能将疾病的后遗危险最大限度的降低。
OBJECTIVE: To study the causes, diagnosis and treatment of recurrent otitis media in preschool children with otolaryngology clinics, and to help parents and children understand the importance of early diagnosis and treatment. Methods: Retrospective analysis of the diagnosis, treatment and treatment of 32 cases of recurrent secretory otitis media in outpatient department from January 2007 to December 2007 were retrospectively analyzed. Results: 21 cases of kindergarten physical examination, 7 cases of children due to TV volume up, 3 cases of earache, 1 case of tonsillitis. The first treatment was considered as 27 cases, 5 cases considered individual differences may require multiple treatment and referral, 4 cases of family members that the cause of the disease is upper respiratory tract infection. The reasons for the disease: upper respiratory tract infection in 17 cases, or accompanied by 12 cases of sinusitis, adenoid hypertrophy in 11 cases, 3 cases of allergic rhinitis. The symptomatic treatment of 21 outpatients A, As, C type; 11 cases of adenoids after inpatient curettage and catheterization were followed up for 3 to 6 months, 18 ear tympanogram into A, As, C type, 2 ears B type. 29 cases of normal hearing recovery, 2 cases of mild deafness, and 1 case of severe deafness. CONCLUSIONS: The causes of recurrent secretory otitis media in preschool children are comprehensive. Only by strengthening the propaganda of the disease, such as the causes and harms, can early detection and diagnosis and treatment be performed to minimize the risk of posthumous diseases.