鼻内镜下腺样体切除联合鼓室置管治疗儿童阻塞性睡眠呼吸暂停低通气综合征伴分泌性中耳炎

Transnasal endoscopic adenoidectomy combined with tympanostomy tube insertion for pedia OSAHS and otitis media with effusion

摘要:

目的 探讨同期鼻内镜下低温等离子行腺样体切除联合鼓室置管治疗儿童阻塞性睡眠呼吸暂停低通气综合征（OSAHS）伴分泌性中耳炎的疗效。 方法 对92例（132耳）儿童OSAHS伴分泌性中耳炎患者分为两组：A组52例（70耳），采用鼻内镜下腺样体切除联合鼓室置管治疗；B组40例（62耳）仅在鼻内镜下腺样体切除而不行鼓室置管。 结果 A组有效率为94.29%；B组有效率为65.15%。两组比较差异有显著性（χ8=18.122，P <0.05）。A组术后中耳积液平均时间为（5.34±1.35）d。B组术后中耳积液平均时间为（16.63±5.57）d。两组比较差异有显著性（t值=16.408，P <0.05）。结论 鼻内镜下低温等离子行腺样体切除联合鼓室置管治疗儿童OSAHS伴分泌性中耳炎，在保证OSAHS疗效的同时，又缩短了中耳积液时间，提高了听力。

Abstract:

【Objective】 To explore the treatment outcomes of transnasal endoscopic adenoidectomy combined with tympanostomy tube insertion for treating pedia OSAHS and otitis media with effusion (OME). 【Methods】 Ninety-two children(132 ears) with OSAHS and OME were selected to receive transnasal endoscopic adenoidectomy combined with tympanostomy tube insertion performed simultaneously (Group A, n =52, 70 ears) or transnasal endoscopic adenoidectomy alone (Group B, n =40, 62 ears). 【Results】 The effective rates of Group A and Group B were 94.29% and 65.15%, respectively with significant difference between them (χ2=18.122, P ＜0.05). Average middle ear fluid duration was (5.34±1.35) d. And (16.63±5.57) d in Group B. There was a significant difference (t =16.408, P ＜0.05) between the two groups about average middle ear fluid duration. 【Conclusion】 Transnasal endoscopic adenoidectomy combined with tympanostomy tube insertion may be performed in treating pedia OSAHS and OME appears to shorten middle ear fluid time, improve hearing results.