【摘要】 目的 探讨腺样体A/N比值对治疗腺样体病理性肥大合并分泌性中耳炎(SOM)的指导作用。方法 SOM患儿治疗前,根据鼻咽部侧位X线照片进行A/N比值测定,对A/N比值>0.6的腺样体病理性肥大164例,分为中度肥大组(A/N比值0.61～0.7)96例,重度肥大组(A/N比值>0.7)68例,对2组病例进行分阶段药物、手术治疗并观察治疗效果。结果 第一阶段经药物治疗4周后,中度肥大组治愈率82.3%,重度肥大组治愈率16.2%,检验结果为χ~2=31.706,P<0.01;第二阶段对药物治疗无效的2组SOM患儿(中度肥大组17例,重度肥大组57例)进行手术治疗,术后4周后复查,中度肥大组治愈率100%,重度肥大组治愈率98.2%,检验结果为P=0.770.P>0.05。结论 A/N比值对腺样体肥大合并SOM的治疗有指导作用,手术切除腺样体应结合A/N比值和药物治疗后的效果。更多还原

【Abstract】 Objective To explore the guidance role of the the adenoid A/N ratio in the treatment of adenoidal pathological hypertrophy with secretory otitis media(SOM).Methods 164 cases of SOM children before treatment were collected,whose A/N ratios were determinate on the lateral X-ray films of the nasopharynx,when the A/N ratio was>0.6 the adenoids pathological hypertrophy was diagnosed,in which 96 cases were showed moderate hypertrophy group(A/Nratio of 0.61-0.7),and 68 cases severe hypertrophy group(A/N ratio>0.7),The observation of drugs and surgical treatment effects in two groups were carried out in phases,Results The first phase of four weeks after drug treatment,the cure rate was 82.3% in moderate hypertrophy group,16.2% in severe hypertrophy group(χ~2=31.706,P<0.01);the second phase,74 cases of the two groups of medical therapy children(17 cases of moderate hypertrophy and 57 cases of,severe hypertrophy) were recieved surgical treatment,the cure rate was 100% in moderate hypertrophy group and 98.2% in severe hypertrophy group(P=0.770,P>0.05) after four weeks treatment.Conclusion The A/N ratio is of significance in the treatment of adenoidal hypertrophy with secretory otitis.The surgical removal of adenoids should be combined the A/N ratio and the effect of drug treatment.更多还原