Wight R G, Jones A S, Connell J A, Buffin J T, Bull P D, Chapman D F
Sheffield Children's Hospital.
Clin Otolaryngol Allied Sci. 1987 Oct;12(5):371-5. doi: 10.1111/j.1365-2273.1987.tb00219.x.
A retrospective study with review, after 3 years, of 43 children between the ages of 4 and 13 years, who had bilateral otitis media with effusion treated surgically purely by the insertion of grommets is described. The results shows that the younger the child at initial grommet insertion, the greater the likelihood of more than 1 grommet insertion being required (P less than 0.05). A younger patient is likely to make a greater number of outpatient visits (P less than 0.05), and the number of outpatient visits correlates with the number of grommets inserted (P less than 0.01). At 3 years, 49% of children remained on regular outpatient follow-up, while 34% of children had persisting effusion in 1 or more ears. Whilst grommets are in place, otorrhoea is not adversely influenced by swimming. The role of adenoidectomy in the management of otitis media with effusion is not assessed by this study.
本文描述了一项回顾性研究，对43名年龄在4至13岁之间、双侧中耳积液且仅通过插入通气管进行手术治疗的儿童进行了为期3年的随访。结果显示，初次插入通气管时年龄越小，需要插入1个以上通气管的可能性就越大（P<0.05）。年龄较小的患者可能需要更多的门诊就诊次数（P<0.05），且门诊就诊次数与插入通气管的数量相关（P<0.01）。3年后，49%的儿童仍在接受定期门诊随访，而34%的儿童一只或多只耳朵存在持续性积液。通气管在位时，游泳对耳漏没有不利影响。本研究未评估腺样体切除术在中耳积液治疗中的作用。
