摘要
目的探讨咽鼓管咽口分泌物与儿童分泌性中耳炎的相关性。方法将2021年1月至2023年3月福建省福州儿童医院收治的103例分泌性中耳炎患儿分为病例组,同期诊治的115例声带小结患儿为对照组,二组患儿均行电子鼻咽镜等检查,病例组患儿同期行畸变产物耳声发射、声导抗、纯音听阈测试、颞骨CT平扫。回顾性分析咽鼓管咽口分泌物与各项检查结果的相关性。结果病例组咽鼓管咽口分泌物阳性率达89.5%,明显高于对照组的17.0%,Ⅲ和Ⅳ级咽鼓管咽口分泌物的比例明显高于Ⅰ和Ⅱ级,差异均有统计学意义(P<0.05);病例组Ⅲ和Ⅳ级咽鼓管咽口分泌物发生率与声导抗检查阳性结果差异无统计学意义,一致性较好。结论Ⅲ和Ⅳ级咽鼓管咽口分泌物可能是儿童分泌性中耳炎的特征性表现之一,应进一步检查以明确诊断。
Objective To explore the correlation between pharyngeal secretion of eustachian tube and secretory otitis media in children.Methods 103 children with secretory otitis media diagnosed and treated in our department from January 2021 to March 2023 were divided into the case group and 115 children with vocal nodules diagnosed and treated in the same period were divided into the control group.Electronic nasopharyngoscope was performed in the two groups,and distortion product otoacoustic emissions,acoustic immittance,pure tone audiometry,CT scan of temporal bone was performed in the case group at the same time.To analyze the correlation between the pharyngeal secretion of eustachian tube and the results of various examinations.Results The positive rate of pharyngeal orifice secretion of the eustachian tube in the case group was up to 89.5%,which was significantly higher than the rate of 17.0%in the control group.The proportion of pharyngeal orifice secretion of gradeⅢ-Ⅳwas significantly higher than that of gradeⅠ-Ⅱ(p<0.05).The results of the oropharyngeal secretion of gradeⅢ-Ⅳeustachian tubes for the diagnosis of secretory otitis media in children were not statistically different from the results of acoustic conduction resistance diagnosis,and the agreement was good.Conclusion GradeⅢ-Ⅳpharyngeal secretion of eustachian tube may be one of the characteristic manifestations of secretory otitis media in children,and further examination should be carried out to make a definite diagnosis.
作者
刘平凡
沈翎
林宗通
杨中婕
LIU Ping-fan;SHEN Ling;LIN Zong-tong(Department of Otolaryngology,Fuzhou First General Hospital,Fuzhou Children's Hospital of Fujian Province,Fuzhou 350000,China)
出处
《中国实用儿科杂志》
CSCD
北大核心
2024年第11期856-861,共6页
Chinese Journal of Practical Pediatrics
基金
福州市“十四五”临床专科培强培优培育建设项目(No:20220304)
福州市科技计划项目(2014-S-141-4)。
关键词
分泌性中耳炎
儿童
咽鼓管咽口
分泌物
电子鼻咽镜检查
otitis media with effusion
child
pharyngeal orifice of eustachian tube
secretions
electronic nasopharyngoscopy
作者简介
通信作者:沈翎,电子信箱:shenlingfz@126.com。
