探討腺樣體切除術(shù)聯(lián)合鼓膜切開置管術(shù)和單純鼓膜切開置管術(shù)治療分泌性中耳炎伴腺樣體肥大的患兒的臨床療效
發(fā)布時(shí)間:2024-06-10 17:37
目的:探討腺樣體切除術(shù)聯(lián)合鼓膜切開置管術(shù)和單純鼓膜切開置管術(shù)治療414歲分泌性中耳炎伴腺樣體肥大的患兒的臨床療效。方法:回顧性研究2014年1月至2017年12月在鄭州大學(xué)第一附屬醫(yī)院耳鼻喉科住院的經(jīng)3個(gè)月藥物治療無效的分泌性中耳炎伴腺樣體肥大患兒的臨床資料。將患者分為兩組:TT+Ad組(腺樣體切除術(shù)聯(lián)合鼓膜切開置管術(shù))和TT組(單純鼓膜切開置管術(shù))。比較兩組術(shù)后6個(gè)月和1年的純音聽閾測(cè)定結(jié)果和聽覺腦干誘發(fā)電位結(jié)果。分析兩組患者的復(fù)發(fā)率、中耳積液持續(xù)時(shí)間及治愈時(shí)間。采用SPSS version 22進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:本研究共選取220例患者(373耳),其中男性134例(232耳),女性86例(141耳)平均年齡(7.82±2.85)歲。患者分布如下:TT+Ad組110例,TT組110例,兩組在年齡、性別、病史無明顯差異。TT+Ad組治愈率為94.5%,TT組為79.1%,兩組差異有統(tǒng)計(jì)學(xué)意義(p<0.05)。比較兩組術(shù)前、術(shù)后6個(gè)月、術(shù)后1年骨氣導(dǎo)間距和ABR的平均值。術(shù)后聽力TT+Ad組優(yōu)于TT組,兩組比較差異有統(tǒng)計(jì)學(xué)意義(p<0.05)。中耳...
【文章頁數(shù)】:85 頁
【學(xué)位級(jí)別】:碩士
【文章目錄】:
摘要
abstract
ABBREVIATIONS
1.Introduction
1.1 Definition
1.2 Etiology&Pathogenesis
1.3 Diagnosis&Clinical Features
1.3.1 Symptoms
1.3.2 Otoscopic Findings
1.3.3 Audiometry
1.3.4 Tympanometry
1.3.5 Auditory Brainstem Response (ABR)
1.3.6 CT scan
1.3.7 CT Adenoid Hypertrophy
1.4 Treatment&Management of OME
1.5 Role of Adenoid in OME
2.Aims&Objectives
2.1 Objective
2.2 Study Justification
2.3 Study Question
3.Materials and Methods
3.1 Study Design and setting
3.2 Study population
3.3 Inclusion criteria for both groups of patients
3.4 Exclusion criteria of both groups of patients
3.5 Surgical treatment options
3.5.1 Tympanostomy Tube Insertion
3.5.2 Adenoidectomy
3.5.3 Follow up
3.6 Statistical Analysis
4.Results
5.Discussion
6.Conclusion
References
Literature Review
References
Acknowledgement
本文編號(hào):3991672
【文章頁數(shù)】:85 頁
【學(xué)位級(jí)別】:碩士
【文章目錄】:
摘要
abstract
ABBREVIATIONS
1.Introduction
1.1 Definition
1.2 Etiology&Pathogenesis
1.3 Diagnosis&Clinical Features
1.3.1 Symptoms
1.3.2 Otoscopic Findings
1.3.3 Audiometry
1.3.4 Tympanometry
1.3.5 Auditory Brainstem Response (ABR)
1.3.6 CT scan
1.3.7 CT Adenoid Hypertrophy
1.4 Treatment&Management of OME
1.5 Role of Adenoid in OME
2.Aims&Objectives
2.1 Objective
2.2 Study Justification
2.3 Study Question
3.Materials and Methods
3.1 Study Design and setting
3.2 Study population
3.3 Inclusion criteria for both groups of patients
3.4 Exclusion criteria of both groups of patients
3.5 Surgical treatment options
3.5.1 Tympanostomy Tube Insertion
3.5.2 Adenoidectomy
3.5.3 Follow up
3.6 Statistical Analysis
4.Results
5.Discussion
6.Conclusion
References
Literature Review
References
Acknowledgement
本文編號(hào):3991672
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