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分泌性中耳炎。鼓膜切开置管术的远期治疗效果。

Secretory otitis media. Late results of treatment with grommets.

作者信息

Tos M, Poulsen G

出版信息

Arch Otolaryngol. 1976 Nov;102(11):672-5. doi: 10.1001/archotol.1976.00780160068006.

DOI:10.1001/archotol.1976.00780160068006
PMID:985199
Abstract

In 108 children (184 ears) with chronic secretory otitis treated with grommets, the condition at one-to-five years follow-up was compared with that at five-to-eight years follow-up. At the latter time, hearing was extremely good, 97.5% of the ears having a speech reception threshold (SRT) of 20 dB or less. However, only 67% of patients could be classified as cured by normal tympanometry. The remaining ears showed a negative middle-ear pressure of 100 to 300 mm H2O (25%), recurrent accumulation of secretion (1.6%), adhesive otitis (3.3%), perforation (1.7%), or cholesteatoma (1%). The eardrum was normal in 44% of patients, while in 25% it was diffusely atrophic, lax, or retracted.

摘要

在108例(184耳)接受鼓膜置管治疗的慢性分泌性中耳炎患儿中,对其1至5年随访时的病情与5至8年随访时的病情进行了比较。在5至8年随访时,听力非常好,97.5%的耳言语接受阈(SRT)为20dB或更低。然而,通过正常鼓室图检查,只有67%的患者可被归类为治愈。其余的耳表现为中耳负压100至300mm H2O(25%)、分泌物反复积聚(1.6%)、粘连性中耳炎(3.3%)、穿孔(1.7%)或胆脂瘤(1%)。44%的患者鼓膜正常,而25%的患者鼓膜弥漫性萎缩、松弛或内陷。

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Secretory otitis media. Late results of treatment with grommets.分泌性中耳炎。鼓膜切开置管术的远期治疗效果。
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引用本文的文献

1
Secretory otitis media and grommets.分泌性中耳炎与鼓膜置管
Br Med J (Clin Res Ed). 1981 Feb 14;282(6263):501-2.
2
Sequelae of ventilation tubes following tonsillectomy.
Arch Otorhinolaryngol. 1985;242(1):113-7. doi: 10.1007/BF00464416.
3
Grommets and glue ear: a five-year follow up of a controlled trial.鼓膜通气管与胶耳:一项对照试验的五年随访
J R Soc Med. 1978 May;71(5):353-6. doi: 10.1177/014107687807100508.