低温等离子消融技术治疗分泌性中耳炎临床研究.docVIP

低温等离子消融技术治疗分泌性中耳炎的临床研究 　　【摘要】 目的 探讨低温等离子消融技术治疗伴有腺样体肥大的分泌性中耳炎患儿的临床效果。方法 回顾性分析40例伴有腺样体肥大的分泌型中耳炎患儿的临床资料， 根据治疗方法不同， 将患儿分为对照的（16例）和观察组（24例）， 比较两组患儿的疗效差异。结果 观察组24例分泌性中耳炎患儿， 经低温等离子消融技术治疗， 总有效率为91.67%， 明显高于对照组的75.00%， 差异具有统计学意义（P0.05）。观察组患儿， 感染、鼓膜穿孔、耳漏等并发症的发生率明显低于对照组， 差异具有统计学意义（P0.05）。结论 低温等离子消融技术治疗分泌性中耳炎的临床疗效确切， 安全可靠， 值得推广应用。 　　【关键词】 低温等离子消融技术；分泌性中耳炎 　　DOI：10.14163/j.cnki.11-5547/r.2015.18.037 　　Clinical research of low-temperature plasma ablation technology in the treatment of secretory otitis media WENG Wen-hong， LIAO Tian-yi， DU Hai-yu， et al. Department of Otorhinolaryngology， Guangdong Qingyuan City People’s Hospital， Qingyuan 511500， China 　　【Abstract】 Objective To investigate the clinical effect of low-temperature plasma ablation technology in the treatment of children of secretory otitis media complicated with adenoidal hypertrophy. Methods Clinical data of 40 secretory otitis media complicated with adenoidal hypertrophy children were retrospectively analyzed. They were divided by different treatment methods into control group （16 cases） and observation group （24 cases）. Curative effects of the two groups were compared. Results The observation group with 24 secretory otitis media children had total effective rate as 91.67% after receiving low-temperature plasma ablation technology. That was obviously higher than 75.00% of the control group， and their difference had statistical significance （P0.05）. The observation group had much lower incidences of infection， tympanic membrane perforation， and otorrhea than the control group， and the difference had statistical significance （P0.05）. Conclusion Low-temperature plasma ablation technology provides precise effect with safety and reliability in treating secretory otitis media， and it is worth promoting and applying. 　　【Key words】 Low-temperature plasma ablation technology； Secretory otitis media 　　分泌性中耳炎（secretory otitis media）是耳鼻咽喉科的常见疾病之一， 是以中耳积液， 听力下降， 语言发育障碍为特征的中耳非化脓性炎性疾病， 以儿童发病多见。且此类患儿常伴有腺样体肥大， 临床表现为鼻塞、流涕、耳流