Chronic otitis media with effusion (glue ear) and adenotonsillectomy: prospective randomised controlled study.
Chronic otitis media with effusion (glue ear) and adenotonsillectomy: prospective randomised controlled study.
复制标题
慢性渗出性中耳炎（胶耳）和腺样体扁桃体切除术：前瞻性随机对照研究。
作者：
A. R. Maw
我们进行了一项前瞻性研究，探讨腺样体切除术和扁桃体切除术对内科治疗无效的渗出性中耳炎的疗效。手术是随机进行的，对照组为103名患有这种疾病的儿童，手术结果在6周、3个月、6个月、9个月和一年后进行了评估。腺样体切除后，病情消退率从6周的39%上升到1年的72%；腺样体切除后，病情消退率从6周的59%上升到1年的62%。在非手术组中，这一比例从6周时的16%上升到1年时的26%。与非手术组比较，单纯腺样体摘除术后1年疗效显著(P<0.001.0 1)，扁桃体摘除术后1年疗效显著(P<0.0 1)。然而，与单行腺样体切除术相比，增加扁桃体切除术并没有增加益处。因此，36-46%的腺样体切除所致的慢性积液得到了缓解。
A prospective study was conducted of the effects of adenoidectomy and adenotonsillectomy on established otitis media with effusion unresponsive to medical treatment. The operations were performed at random with a controlled no surgery group on a cohort of 103 children with the condition and the results assessed six weeks, three months, six months, nine months, and one year later. After adenoidectomy the rate of resolution of the condition increased from 39% at six weeks to 72% at one year; and after adenotonsillectomy the rate increased from 59% at six weeks to 62% at one year. In the no surgery group the rate increased from 16% at six weeks to 26% at one year. Compared with the no surgery group the effect of adenoidectomy alone at one year was highly significant (p less than 0.001), and similarly the effect of adenotonsillectomy was significant (p less than 0.01). There was, however, no increased benefit from the addition of tonsillectomy compared with adenoidectomy alone. Thus there was resolution of 36-46% of chronic effusions as a result of adenoidectomy.