Jing Yunlong,Huang Min,Li Yun,et al.Recurrence factors after endoscopic femoral entricular catheter placement in children with secretory otitis media[J].Journal of Clinical Pediatric Surgery,,20():652-657.[doi:10.12260/lcxewkzz.2021.07.011]
Recurrence factors after endoscopic femoral entricular catheter placement in children with secretory otitis media
- Keywords:
- Secretory Otitis Media; Endoscopic Femoral Catheterization; Postoperative Recurrence; Risk Factors For; Child
- CLC:
- R764.21;R764.9
- Abstract:
- Objective To explore the recurrence factors after endoscopic femoral entricular catheter placement in children with secretory otitis media.Methods Retrospective analysis was performed for the pathological data of 93 children undergoing endoscopic femoral catheterization for secretory otitis media from March 2017 to March 2018.Based upon follow-up visits,they were divided into observation group (n=23) and non-recurrent control group (n=70).The course of disease,gender,age,smoking environment,tonsil inflammation,recurrent respiratory tract infection,allergic rhinitis,poor mastoid gasification,ventilation duration,chronic sinusitis,adenoid hypertrophy or nasopharyngeal lymphoproliferative tissue and other data were collected for analyzing the risk factors for postoperative recurrence.Results During follow-ups,23 children (24.73%) had postoperative recurrence with a mean recurrence time of (9.56±1.56) months.Univariate analysis revealed no significant inter-group differences in disease course,gender,age,smoking environment or tonsillitis (P>0.05).Recurrent respiratory tract infection,allergic rhinitis,poor mastoid gasification,ventilation tube retention time,chronic sinusitis and adenoid hypertrophy or nasopharyngeal lymphoid tissue hyperplasia were associated with postoperative recurrence (P<0.05).Recurrence was taken as a dependent variable and multivariate unconditional Logistic analysis was performed.Recurrent respiratory tract infection (OR=2.317,95%CI:1.381-3.227),allergic rhinitis (OR=1.892,95%CI:1.519-3.028),poor mastoid gasification (OR=0.723,95%CI:0.386-0.898),airway retention time (OR=1.225,95%CI:0.882-1.897),chronic sinusitis (OR=1.622,95%CI:1.072-2.438) and adenoid hypertrophy or nasopharyngeal lymphoid tissue hyperplasia (OR=1.187,95%CI:0.825-1.713) were independent risk factors for a recurrence of pediatric secretory otitis media after endoscopic tympanoplasty (P<0.05).Conclusion Children with recurrent respiratory tract infection,allergic rhinitis,poor mastoid gasification,ventilation tube retention time,chronic sinusitis,adenoid hypertrophy or nasopharyngeal lymphoproliferative hyperplasia are all risk factors for postoperative recurrence.Clinicians should pay close attention to those with risk factors to improve treatment outcomes.
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Memo
收稿日期:2021-02-05。
基金项目:湖南省儿童医院1233人才工程资助
通讯作者:胡彬雅,Email:zhizi628@126.com