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挪威的小儿中耳炎手术

Paediatric otitis media surgery in Norway.

作者信息

Karevold Gunnhild, Haapkylä Johanna, Pitkäranta Anne, Nafstad Per, Kvaerner Kari Jorunn

机构信息

Faculty Division of Akershus University Hospital, University of Oslo, Norway.

出版信息

Acta Otolaryngol. 2007 Jan;127(1):29-33. doi: 10.1080/00016480600606756.

DOI:10.1080/00016480600606756
PMID:17364326
Abstract

CONCLUSIONS

In Norway there are large, regional differences in the incidence of surgery and combinations of surgery for otitis media.

OBJECTIVES

A descriptive study of complete national administrative data on frequency of surgery for otitis media in 2002.

MATERIALS AND METHODS

This study analysed anonymous patient data from the Norwegian patient registry for 2002 and measured rates of tympanostomy tube insertions, myringotomy and the combinations of adenoidectomies and tympanostomy tubes and myringotomy, respectively. Surgical rates were assessed by region and variations within the country were evaluated.

RESULTS

The peak age for surgical treatment of otitis media was 5 years. Tympanostomy tubes were inserted in more than half of the children treated and the analysis showed considerable regional variation in the rates and in choice of surgical treatment.

摘要

结论

在挪威,中耳炎手术发生率及手术组合存在很大的地区差异。

目的

对2002年全国中耳炎手术频率的完整行政数据进行描述性研究。

材料与方法

本研究分析了来自挪威患者登记处2002年的匿名患者数据,分别测量了鼓膜置管、鼓膜切开术以及腺样体切除术与鼓膜置管和鼓膜切开术组合的发生率。按地区评估手术率,并评估国内的差异。

结果

中耳炎手术治疗的高峰年龄为5岁。接受治疗的儿童中超过一半进行了鼓膜置管,分析显示手术率和手术治疗选择存在显著的地区差异。

相似文献

1
Paediatric otitis media surgery in Norway.挪威的小儿中耳炎手术
Acta Otolaryngol. 2007 Jan;127(1):29-33. doi: 10.1080/00016480600606756.
2
Otitis media surgery: large variability between Finland and Norway.中耳炎手术:芬兰和挪威之间存在很大差异。
Int J Pediatr Otorhinolaryngol. 2007 Jul;71(7):1035-9. doi: 10.1016/j.ijporl.2007.03.010. Epub 2007 May 4.
3
Trends in otitis media surgery: a decrease in adenoidectomy.中耳炎手术趋势:腺样体切除术减少。
Int J Pediatr Otorhinolaryngol. 2008 Aug;72(8):1207-13. doi: 10.1016/j.ijporl.2008.04.012. Epub 2008 Jun 11.
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Finnish adenoidectomy and tympanostomy rates in children; national variation.芬兰儿童腺样体切除术和鼓膜造孔术的比率;全国差异。
Int J Pediatr Otorhinolaryngol. 2006 Sep;70(9):1569-73. doi: 10.1016/j.ijporl.2006.04.005. Epub 2006 Jun 23.
5
Outcome analysis of children receiving tympanostomy tubes.接受鼓膜置管术儿童的结局分析
J Otolaryngol. 1998 Oct;27(5):293-7.
6
Surgery for otitis media and infectious susceptibility in 10-year old school children.
Int J Pediatr Otorhinolaryngol. 2009 Apr;73(4):603-6. doi: 10.1016/j.ijporl.2008.12.007. Epub 2009 Jan 23.
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Current indications for adenoidectomy in a sample of children in the Netherlands.荷兰儿童样本中腺样体切除术的当前适应症。
B-ENT. 2010;6(1):15-8.
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Effectiveness of laser-assisted myringotomy for otitis media in children.激光辅助鼓膜切开术治疗儿童中耳炎的疗效
Laryngoscope. 2004 Mar;114(3):486-9. doi: 10.1097/00005537-200403000-00018.
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The role of adjuvant adenoidectomy and tonsillectomy in the outcome of the insertion of tympanostomy tubes.辅助性腺样体切除术和扁桃体切除术在鼓膜置管结果中的作用。
N Engl J Med. 2001 Apr 19;344(16):1188-95. doi: 10.1056/NEJM200104193441602.
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Otolaryngologists' perceptions of the indications for tympanostomy tube insertion in children.耳鼻喉科医生对儿童鼓膜置管术适应证的看法。
CMAJ. 2000 May 2;162(9):1285-8.

引用本文的文献

1
Variation in Utilization and Need for Tympanostomy Tubes across England and New England.英格兰和新英格兰地区鼓膜置管术的使用情况及需求差异。
J Pediatr. 2016 Dec;179:178-184.e4. doi: 10.1016/j.jpeds.2016.08.093. Epub 2016 Sep 30.
2
Variability of adenoidectomy/tonsillectomy rates among children of the Veneto Region, Italy.意大利威尼托地区儿童腺样体切除术/扁桃体切除术率的差异。
BMC Health Serv Res. 2009 Feb 7;9:25. doi: 10.1186/1472-6963-9-25.
3
Overuse of tympanostomy tubes in New York metropolitan area: evidence from five hospital cohort.
纽约大都市区鼓膜造孔管的过度使用:来自五个医院队列的证据。
BMJ. 2008 Oct 3;337:a1607. doi: 10.1136/bmj.a1607.