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目的 :提高对小儿分泌性中耳炎 (SOM)的诊疗水平。方法 :对 80例 (144耳 )小儿 SOM均行鼓室置硅胶管术 ,其中 30例同时行增殖体刮除和 (或 )扁桃体摘除术、10例行腭裂修复术、2 0例鼻窦炎患者行抗炎引流治疗。结果 :80例患儿随访 0 .5～ 1年 ,83%耳 (6 5例 12 0耳 )听力明显改善 ,纯音听阈 ,声导抗检查恢复正常。结论 :对 SOM的患儿应及时进行综合性治疗 ,方可改善听力。
Objective: To improve diagnosis and treatment of pediatric secretory otitis media (SOM). Methods: 80 cases (144 ears) of children with SOM were performed tympanic silicone tube surgery, including 30 cases of simultaneous removal of proliferative body and / or tonsillectomy, cleft palate repair in 10 cases, 20 cases of sinusitis patients Anti-inflammatory drainage treatment. Results: Eighty children were followed up from 0.5 to 1 year. The hearing of 83% of the ears (65 cases and 120 ears) was significantly improved. The threshold of pure tone and the acoustic impedance test returned to normal. Conclusion: Children with SOM should be comprehensive treatment in time to improve hearing.