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腺样体切除术对儿童已确诊的分泌性中耳炎的长期影响。

The long term effect of adenoidectomy on established otitis media with effusion in children.

作者信息

Maw A R

出版信息

Auris Nasus Larynx. 1985;12 Suppl 1:S234-6. doi: 10.1016/s0385-8146(85)80160-7.

DOI:10.1016/s0385-8146(85)80160-7
PMID:3835918
Abstract

Adenoidectomy is a recommended treatment for otitis media with effusion (OME). This work up-dates a previous report and includes a larger number of 155 cases. Surgery has been allocated at random with a control non-adenoidectomy group. The study is prospective and allows for a wide variety of variables. These include age, sex, adenoid size, seasonal variation, observer accuracy, and spontaneous resolution. Adenoidectomy results in clearance of OME even one year following operation in 31-45% of cases. Clearance is related to the duration of history of hearing loss though this may reflect on age effect. Tonsillectomy provides no additional benefit.

摘要

腺样体切除术是治疗分泌性中耳炎(OME)的推荐方法。这项研究更新了之前的报告,纳入了更多数量的155例病例。手术被随机分配到一个非腺样体切除术的对照组。该研究是前瞻性的,考虑了多种变量。这些变量包括年龄、性别、腺样体大小、季节变化、观察者的准确性以及自然缓解情况。腺样体切除术后,即使在术后一年,仍有31%至45%的病例中耳积液得以清除。积液清除与听力损失病史的时长有关,尽管这可能反映了年龄因素的影响。扁桃体切除术并无额外益处。

相似文献

1
The long term effect of adenoidectomy on established otitis media with effusion in children.腺样体切除术对儿童已确诊的分泌性中耳炎的长期影响。
Auris Nasus Larynx. 1985;12 Suppl 1:S234-6. doi: 10.1016/s0385-8146(85)80160-7.
2
Factors affecting adenoidectomy for otitis media with effusion (glue ear).影响分泌性中耳炎(胶耳)腺样体切除术的因素。
J R Soc Med. 1985 Dec;78(12):1014-8. doi: 10.1177/014107688507801207.
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Chronic otitis media with effusion and adeno-tonsillectomy--a prospective randomized controlled study.分泌性中耳炎与腺样体扁桃体切除术——一项前瞻性随机对照研究。
Int J Pediatr Otorhinolaryngol. 1983 Dec;6(3):239-46. doi: 10.1016/s0165-5876(83)80125-6.
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Age and adenoid size in relation to adenoidectomy in otitis media with effusion.与分泌性中耳炎腺样体切除术相关的年龄和腺样体大小
Am J Otolaryngol. 1985 May-Jun;6(3):245-8. doi: 10.1016/s0196-0709(85)80096-x.
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Surgery of the tonsils and adenoids in relation to secretory otitis media in children.儿童扁桃体和腺样体手术与分泌性中耳炎的关系
Acta Otolaryngol Suppl. 1988;454:202-7. doi: 10.3109/00016488809125027.
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Otoscopic, impedance, and audiometric findings in glue ear treated by adenoidectomy and tonsillectomy. A prospective randomised study.腺样体切除术和扁桃体切除术治疗胶耳的耳镜检查、声阻抗检查及听力测定结果:一项前瞻性随机研究。
Lancet. 1986 Jun 21;1(8495):1399-402. doi: 10.1016/s0140-6736(86)91552-7.
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Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children.用于治疗儿童渗出性中耳炎所致听力损失的鼓膜通气管(通风管)
Cochrane Database Syst Rev. 2005 Jan 25(1):CD001801. doi: 10.1002/14651858.CD001801.pub2.
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Chronic otitis media with effusion (glue ear) and adenotonsillectomy: prospective randomised controlled study.分泌性中耳炎(胶耳)与腺样体扁桃体切除术:前瞻性随机对照研究
Br Med J (Clin Res Ed). 1983 Nov 26;287(6405):1586-8. doi: 10.1136/bmj.287.6405.1586.
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Adenoidectomy for otitis media in children.儿童中耳炎的腺样体切除术
Cochrane Database Syst Rev. 2010 Jan 20(1):CD007810. doi: 10.1002/14651858.CD007810.pub2.

引用本文的文献

1
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.
2
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.
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Adenoidectomy for recurrent or chronic nasal symptoms in children.腺样体切除术治疗儿童复发性或慢性鼻部症状。
Cochrane Database Syst Rev. 2010 Jan 20;2010(1):CD008282. doi: 10.1002/14651858.CD008282.
4
Adenoidectomy for otitis media in children.儿童中耳炎的腺样体切除术
Cochrane Database Syst Rev. 2010 Jan 20(1):CD007810. doi: 10.1002/14651858.CD007810.pub2.