Widemar L, Svensson C, Rynnel-Dagöö B, Schiratzki H
Clin Otolaryngol Allied Sci. 1985 Dec;10(6):345-50. doi: 10.1111/j.1365-2273.1985.tb00267.x.
Seventy-eight preschool children considered to be suffering from long-standing secretory otitis media on the basis of a combination of impaired or abolished mobility of the tympanic membrane and conductive deafness, were examined consecutively. All children underwent bilateral paracentesis. Those children whose ears contained mucous secretion subsequently constituted a prospective longitudinal study group. On the same occasion as the paracentesis was performed, 24 children with bilateral or unilateral mucous secretion in their ears underwent adenoidectomy. Thirty-five non-adenoidectomized children with mucous secretion in one or both ears served as controls. Both groups were followed up for 24 months. At the end of this period they were compared with respect to the state and mobility of the eardrum, a pure tone average audiogram and middle ear impedance. No difference was detected between the two groups. It is therefore concluded that the preventive and therapeutic effects of adenoidectomy on secretory otitis media are doubtful.
连续检查了78名学龄前儿童，这些儿童基于鼓膜活动受限或消失以及传导性耳聋的综合表现被认为患有长期分泌性中耳炎。所有儿童均接受了双侧穿刺抽液。耳朵中有黏液分泌物的儿童随后组成了一个前瞻性纵向研究组。在进行穿刺抽液的同时，24名耳朵有双侧或单侧黏液分泌物的儿童接受了腺样体切除术。35名未接受腺样体切除术、耳朵有一侧或双侧黏液分泌物的儿童作为对照组。两组均随访24个月。在此期间结束时，对两组儿童的鼓膜状态和活动度、纯音平均听力图和中耳阻抗进行了比较。未发现两组之间存在差异。因此得出结论，腺样体切除术对分泌性中耳炎的预防和治疗效果值得怀疑。
