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慢性非化脓性中耳炎。鼓膜切开置管与药物治疗及通气治疗的比较。

Chronic nonsuppurative otitis media. Comparison of tympanostomy tubes and medication versus ventilation.

作者信息

Armstrong B W, Armstrong R B

出版信息

Ann Otol Rhinol Laryngol. 1981 Nov-Dec;90(6 Pt 1):533-6. doi: 10.1177/000348948109000603.

DOI:10.1177/000348948109000603
PMID:7316374
Abstract

Experiences with tympanostomy tubes extending over a period of 29 years are compared with the computer-assisted analysis of a questionnaire that was submitted to 500 otolaryngologists. Ventilating tubes are being used by 99.4% of the respondents in the group and are estimated to achieve good to excellent results in 90% of patients treated. Appropriate use of tympanostomy tubes has significantly reduced the incidence of chronic ear disease. A comparison of prophylactic antibiotics and prophylactic ventilating tubes for the prevention of acute otitis media showed that 91% of the participants in the survey found ventilating tubes to be more effective than antibiotics. Benefits from ventilating tubes far outweigh the small number of tube-induced complications.

摘要

将长达29年的鼓膜置管经验与提交给500名耳鼻喉科医生的问卷的计算机辅助分析结果进行了比较。该组中99.4%的受访者使用通气管,据估计,在90%接受治疗的患者中能取得良好至极佳的效果。鼓膜置管的合理使用显著降低了慢性耳部疾病的发病率。一项关于预防急性中耳炎的预防性抗生素和预防性通气管的比较表明,91%的调查参与者认为通气管比抗生素更有效。通气管的益处远远超过少量由置管引起的并发症。

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