儿童分泌性中耳炎与腺样体肥大的相关性研究_刘姣.pdfVIP

中国医科大学学报 第39 卷 第1 期 2010 年1 月 61 Journal of China Medical University Vol.39 No.1 Jan. 2010 · · 儿童分泌性中耳炎与腺样体肥大的相关性研究 刘姣，孙德强 （中国医科大学附属盛京医院耳鼻咽喉科，沈阳110004） 摘要：目的 探讨儿童分泌性中耳炎与腺样体肥大之间的相关性。方法 选取经鼻咽X 线侧位片检查诊断为腺样体肥大的患 儿170 例和腺样体大小正常、患扁桃体肥大或慢性扁桃体炎的患儿58 例作为对照进行回顾性研究，根据鼻咽X 线侧位片A/N 比值的结果将全部病例按腺样体肥大程度分为腺样体正常组、中度肥大组和重度肥大组。分析各组间腺样体肥大程度与分泌性 中耳炎发病率的相关性。结果 腺样体正常组与中度肥大组比较，分泌性中耳炎发病率无明显差异；腺样体正常组与重度肥大 组比较，分泌性中耳炎发病率的差异有统计学意义（P ＜ 0.01）。结论 腺样体肥大程度与分泌性中耳炎的发病率呈正相关。腺 样体越大对鼻咽腔阻塞的程度越大，造成分泌性中耳炎的几率越高。 关键词：分泌性中耳炎；腺样体肥大；儿童 中图分类号：R764.21 文献标志码：A 文章编号：0258-4646 （2010）01-0061-03 The Correlation between Adenoid Hypertrophy and Secretory Otitis Media in Children LIU Jiao ，SUN De-qiang （Department of Otorhinolaryngology ，Shengjing Hospital ，China Medical University，Shenyang 110004，China） Abstract ：Objective To explore the correlation between adenoid hypertrophy and secretory otitis media. Methods The cases of adenoid hypertrophy were screened and selected by nasopharyngeal lateral X ray. We chose 58 normal children after the clinical examination as con－ trol group. In accordance with the degree of adenoid hypertrophy ，they were divided into three groups ：the normal group ，middle-grade and high-grade groups of adenoid hypertrophy with the association between the degree of adenoidal hypertrophy and the incidence rate of secretory otitis media analyzed. Results There was no difference in the incidence rate of secretory otitis media between the normal and middle-grade groups. The incidence rates of secretory otitis media were significantly different between the normal and high-grade groups （P ＜ 0.01）. Con－ clusion The incidence of secvetory otitis media and the degree of adenoid hypertrophy showed positive correlation. The greater is the size of adenoids ，the severer is the degree of obstruction of the nasopharyngeal