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分泌性中耳炎(otitis media with effusion,OME)是指不伴有鼓室和乳突急性感染症状和体征的中耳积液。分泌性中耳炎在婴儿中有很高的发病率,被认为是婴幼儿最常见的疾病之一。有50％以上的婴儿会在生命的第1年内患分泌性中耳炎。其中大部分患者会在3个月内自愈,但有30％～40％的患者呈复发性病程,5％～10％的发作持续1年或1年以上。婴幼儿时期的分泌性中耳炎可导致听力损失及后遗症,影响语言学习,从而影响患者的生活质量,因此越来越受到广大耳鼻喉科医生及听力学家的重视。尽管分泌性中耳炎被认为是婴儿最常见的疾病之一,但是对于婴儿分泌性中耳炎的诊断,临床上多个环节都存在困难。
Otitis media with effusion (otitis media with effusion, OME) is not accompanied by tympanic and mastoid symptoms and signs of acute infection of the middle ear effusion. Secretory otitis media has a high incidence in infants and is considered one of the most common diseases in infants and young children. Over 50% of infants have secretory otitis media within the first year of life. Most of these patients will heal within 3 months, but 30% to 40% of patients have a recurrent disease course, and 5% to 10% of attacks last for 1 year or more. Secretory otitis media in infants and young children can lead to hearing loss and sequelae, affecting language learning, thus affecting the quality of life of patients, so more and more by the majority of otolaryngologists and audiologists attention. Although secretory otitis media is considered one of the most common diseases in infants, it is difficult to diagnose secretory otitis media in many aspects of the clinic.