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鼓膜置管联合腺样体切除术治疗儿童复发性分泌性中耳炎的疗效

[Effect of tympanostomy tube insertion with adenoidectomy for children with recurrent otitis media with effusion].

作者信息

Xu W M, Ye Y H

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, the Affiliated Puai Hospital,Tongji Medical College, Huazhong University of Science and Technology,Wuhan,430034,China.

Department of Otorhinolaryngology, Wuhan Medical and Health Center for Women and Children.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Dec;30(23):1873-1875. doi: 10.13201/j.issn.1001-1781.2016.23.009.

DOI:10.13201/j.issn.1001-1781.2016.23.009
PMID:29798016
Abstract

To observe the clinical effect of tympanostomy tube insertion with adenoidectomy for children with recurrent otitis media with effusion. One hundred and twenty-six cases of children with recurrent otitis media were randomly divided into observation group and control group(63 in each group), subsequently compared the therapeutic effect of the two groups which observation group had tympanostomy tube insertion with adenoidectomy and the other group had only tympanostomy tube insertion. In terms of the total effective rate,observation group and control group were 96.82% and 76.19% respectively, the difference had statistical significant(<0.05);compared to control group, the recurrent rate of observation group after treatment was extremely lower, the same as middle ear cavity effusion time, which both had statistical significance (<0.05); the complete healing time of two groups had no statistical significance(>0.05). Tympanostomy tube insertion with adenoidectomy has significant treatment effect for children with recurrent otitis media with effusion, it could reduce the recurrent rate after surgery and shorten the time of middle ear cavity effusion.

摘要

观察鼓膜置管联合腺样体切除术治疗儿童复发性中耳炎伴积液的临床效果。将126例复发性中耳炎患儿随机分为观察组和对照组(每组63例),比较观察组行鼓膜置管联合腺样体切除术与另一组仅行鼓膜置管的两组治疗效果。在总有效率方面,观察组和对照组分别为96.82%和76.19%,差异有统计学意义(<0.05);与对照组相比,观察组治疗后的复发率极低,中耳腔积液时间也是如此,两者均有统计学意义(<0.05);两组的完全愈合时间无统计学意义(>0.05)。鼓膜置管联合腺样体切除术治疗儿童复发性中耳炎伴积液有显著治疗效果,可降低术后复发率并缩短中耳腔积液时间。

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[Effect of tympanostomy tube insertion with adenoidectomy for children with recurrent otitis media with effusion].鼓膜置管联合腺样体切除术治疗儿童复发性分泌性中耳炎的疗效
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Dec;30(23):1873-1875. doi: 10.13201/j.issn.1001-1781.2016.23.009.
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Chronic secretory otitis media: effects of surgical management.慢性分泌性中耳炎:手术治疗的效果
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Efficacy of adenoidectomy for recurrent otitis media in children previously treated with tympanostomy-tube placement. Results of parallel randomized and nonrandomized trials.腺样体切除术对曾行鼓膜置管术的复发性中耳炎患儿的疗效。平行随机试验和非随机试验的结果
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Adenoidectomy does not significantly reduce the incidence of otitis media in conjunction with the insertion of tympanostomy tubes in children who are younger than 4 years: a randomized trial.对于4岁以下儿童,在插入鼓膜造孔管的同时进行腺样体切除术并不能显著降低中耳炎的发病率:一项随机试验。
Pediatrics. 2005 Jul;116(1):185-9. doi: 10.1542/peds.2004-2253.

引用本文的文献

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Ventilation tubes (grommets) for otitis media with effusion (OME) in children.鼓膜置管(通气管)用于儿童分泌性中耳炎(OME)。
Cochrane Database Syst Rev. 2023 Nov 15;11(11):CD015215. doi: 10.1002/14651858.CD015215.pub2.
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Adenoidectomy for otitis media with effusion (OME) in children.腺样体切除术治疗儿童分泌性中耳炎(OME)。
Cochrane Database Syst Rev. 2023 Oct 23;10(10):CD015252. doi: 10.1002/14651858.CD015252.pub2.