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带头膜切除术或单独带头膜切除术的腺切除术:对儿科随机对照试验的系统综述

Ebraheem Albazee¹, Noof Albannai², Hajar Alismail³

¹Otorhinolaryngology-Head and Neck Surgery, Kuwait Institute for Medical Specializations (KIMS), Kuwait City, Kuwait; Department of Otolaryngology-Head and Neck Surgery, Al-Jahra Hospital, Al-Jahra, Kuwait.

International journal of pediatric otorhinolaryngology

|January 16, 2026

概括

对于患有输出性中耳炎 (OME) 的儿童来说,用 tympanostomy 管 (TT) 进行腺切除术可以提供短期的听力益处,但会增加长期的并发症. 单独进行神经切除术是一种更安全,同样有效的策略,用于儿科的OME管理.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
儿科手术儿科手术
基于证据的医学基于证据的医学.

背景情况:

带出血的中耳炎 (OME) 是儿童导电性听力损失的主要原因.
对于OME的手术决定包括带有 myringotomy 的腺切除术与带有 tympanostomy 管 (TT) 插入的腺切除术.
虽然TT提供了通风,但却存在长期并发症的风险.

研究的目的:

系统地审查随机对照试验 (RCT).
为了比较单独进行线索切除术的疗效和安全性,而不是在儿科OME中与腺切除术一起进行TT插入.

主要方法:

在主要数据库 (PubMed,Scopus,CENTRAL,Web of Science) 进行了系统的文献搜索.
使用RoB-2工具对符合条件的RCT进行了偏差风险评估.
主要结局包括听力改善和溢出解决;次要结局是OME复发和并发症.

主要成果:

分析了11个RCT,其中包括955名儿科患者.
TT插入显示出优越的短期听力和溢出分辨率 (3-6个月),但在12个月后没有长期优势.
TT组的长期并发症比率明显更高,如耳鼻和耳膜问题.

结论:

tympanostomy 管在腺切除术后仅为儿科的 OME 提供暂时的好处.
单独进行肌切除术和肌切除术是一种更安全的长期策略,具有相似的疗效.
这次审查建议重新考虑常规的TT使用与OME的腺切除术结合使用.

关键词:

耳朵的耳朵粘合剂.格罗美特 (Grommet) 的意思是什么?中耳通风器的通风方式压力均等化压力均等化书记性中耳炎中耳炎.

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