Gates G A, Wachtendorf C, Hearne E M, Holt G R
Am J Otolaryngol. 1985 May-Jun;6(3):249-53. doi: 10.1016/s0196-0709(85)80097-1.
Insertion of tympanostomy tubes to provide prolonged aeration and drainage of the tympanum in cases of chronic secretory otitis media has become the most commonly performed operation in children. To investigate the therapeutic efficacy of current treatments of chronic secretory otitis media, the authors undertook a randomized clinical trial with four treatment arms: myringotomy alone, tympanostomy tubes, adenoidectomy and myringotomy, and the combination of adenoidectomy and tympanostomy tubes. This report describes the preliminary (one-year) outcome in the group of children who were treated with tympanostomy tubes. The observed average differences between the myringotomy and tympanostomy tube groups were small, with the exception of one variable (time to first recurrence). Although the clinical importance of these differences remains to be established, the authors believe they are substantial enough to justify continued use of tympanostomy tubes in the primary surgical therapy of chronic secretory otitis media, when medical therapy and observation indicate the need for drainage to improve hearing or correct anatomic deformities of the tympanum.
对于慢性分泌性中耳炎患者，插入鼓膜造孔管以实现鼓膜的长期通气和引流，已成为儿童中最常施行的手术。为研究慢性分泌性中耳炎当前治疗方法的疗效，作者开展了一项随机临床试验，设有四个治疗组：单纯鼓膜切开术、鼓膜造孔管、腺样体切除术加鼓膜切开术，以及腺样体切除术加鼓膜造孔管联合治疗。本报告描述了接受鼓膜造孔管治疗的儿童组的初步（一年）结果。除了一个变量（首次复发时间）外，鼓膜切开术组与鼓膜造孔管组之间观察到的平均差异较小。尽管这些差异的临床重要性仍有待确定，但作者认为，当药物治疗和观察表明需要引流以改善听力或纠正鼓膜的解剖畸形时，这些差异足以证明在慢性分泌性中耳炎的主要手术治疗中继续使用鼓膜造孔管是合理的。
