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首页> 外文期刊>International journal of pediatric otorhinolaryngology >Comparison between myringotomy and tympanostomy tubes in combination with adenoidectomy in 3-7-year-old children with otitis media with effusion.
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Comparison between myringotomy and tympanostomy tubes in combination with adenoidectomy in 3-7-year-old children with otitis media with effusion.

机译：患有血液炎患儿腺样体腺体切除术与脑膜炎患儿的腺样细胞切除术与积液的比较。

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The specific aim of this study was to compare, by means of a randomized clinical trial, the efficacy between the two surgical combinations - adenoidectomy with myringotomy and tympanostomy (A+T) and adenoidectomy with myringotomy (A+M) - in reducing middle ear disease in children with otitis media with effusion (OME). Seventy-eight 3-7-year-old patients (156 ears) with a history of bilateral middle ear effusion for at least 3 months were randomly assigned to either A+T or A+M. Hearing threshold levels, recurrence rate of the effusion and episodes of acute otitis media (AOM) and otorrhea were evaluated for a follow-up period of 1 year. Audiometry testing showed that there was no statistically significant difference in the hearing loss levels of both groups during the whole follow-up period. Free of AOM episodes were 72% of the patients in the A+T group and 75% of those in the A+M group. None of the patients with A+M had episodes with otorrhea which contrasted with the 40% occurrence rate in the A+T group. During the follow-up period we documented a 10% recurrence rate of OME in the A+T group and 14% recurrence rate in the A+M group. Overall our data suggests that the insertion of tympanostomy tubes in association with adenoidectomy provides no additional benefit to adenoidectomy in association with myringotomy alone in terms of hearing loss or AOM episode occurrences in patients with bilateral otitis media with effusion. Furthermore no relationship was found between the choice of operative intervention and the recurrence rate of OME despite the slightly greater relative risk in the A+M group.
机译：本研究的具体目的是通过随机临床试验，两种手术组合 - 腺体切除术与腺细胞切除术（A + T）和腺样体切除术与术术（A + M） - 减少中耳具有积液（OME）的中耳炎患儿的疾病。七十八名3-7岁的患者（156只耳朵），两侧中耳积液至少为3个月的历史，被随机分配给A + T或+ M.听力阈值水平，评估急性中耳炎（AOM）和耳椎的积液和剧集的复发率进行评估为1年的后续期。听力测定测试表明，在整个后续期间，两组的听力损失水平没有统计学意义。 A + T组中的患者的72％是AOM剧集的72％，其中75％的A + M组。 + M的患者均未与耳聋的剧集，与A + T组中的40％发生率形成鲜明对比。在随访期间，我们记录了A + T组中OME的10％复发率和A + M组中的14％复发率。总体而言，我们的数据表明，与腺体切除术相关联的鼓膜术管不适用于腺体切除术与单独的腺体切除术，在双侧中耳炎患者中具有积液的患者的听力损失或AOM发作出发方面没有额外的益处。此外，尽管A + M组中的相对风险略高，但在手术干预和OM的复发率之间没有发现任何关系。

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