在儿科患者中常用的四个通风管的比较:一项回顾性队列研究
Margareta Morrissette1, Tom Ben-Dov1, Michele Santacatterina2
1Division of Pediatric Otolaryngology, Department of Otolaryngology Head and Neck Surgery New York University Grossman School of Medicine New York New York USA.
Laryngoscope investigative otolaryngology
|July 29, 2024
概括
在比较儿童的四个常见的通风管中,阿姆斯特朗形管显示出耳率最高,而帕帕雷拉I型管挤出速度最快. 没有一个单独的管子在所有结果中都被证明是优越的.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科医学 儿科医学 儿科医学
- 生物材料科学是生物材料的科学.
背景情况:
- 透气管对于管理儿童中耳炎与输液至关重要.
- 短期通风管在设计和材料上有所不同,可能会影响临床结果.
- 了解比较疗效对于优化治疗策略至关重要.
研究的目的:
- 为了比较儿科患者四个常见的短期通风管的耳鼻, tympanic 膜穿孔和挤出时间的发生率.
- 为了确定帕帕雷拉I型活性剂,阿姆斯特朗形,修改阿姆斯特朗和阿姆斯特朗微凝管之间的并发症率和挤出时间的潜在差异.
主要方法:
- 对387名首次接受通风管插入的儿科患者进行了回顾性图表审查.
- 对2年的术后随访数据的分析.
- 使用调整的多变量逻辑回归来确定并发症的几率比率.
主要成果:
- 阿姆斯特朗的形管显示出耳鼻的几率最高.
- 帕帕雷拉型I管具有最短的平均挤出时间 (约. 9个月),而阿姆斯特朗形管是最长的 (约. 19个月的时间).
- 在四种管类型中没有观察到耳膜穿孔率的显著差异.
结论:
- 在所有评估的并发症中,没有单一的通风管类型在临床上优越.
- 耳鼻喉科医生可以根据特定的临床情景和所需的挤出持续时间选择管道.
- 挤出时间的变化需要考虑患者的年龄,季节性和治疗目标.
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