实用医学杂志2018，Vol.34Issue(5)：842-846,5.DOI:10.3969/j.issn.1006-5725.2018.05.036
鼓膜置管及其合并腺样体切除治疗儿童分泌性中耳炎听力改善的疗效分析:Meta分析
Comparative hearing outcomes of tympanostomy tubes and combined with adenoidectomy for pediatric otitis media effusion treatment:a Meta-analysis
邹宇 1刘漪 1陈洽鑫 1麦飞 1黄亚萍 1张心丽 1林小燕 1邓梦夏1
作者信息
摘要
Abstract
Objective To investigate the hearing outcome efficiency of tympanostomy tubes and when combined with adenoidectomy for otitis media with effusion treatment. Methods A systematic literature review of tympanostomy tubes and tympanostomy tubes combined with adenoidectomy were performed using PubMed, EMBASE,the Cochrane Library,MEDLINE,all of the included studies were randomized controlled trial. The quality of included studies was evaluated according to the Risk of Bias Table of the Cochrane Handbook. Data were analyzed with Review Manager 5.02 software. Heterogeneity was examined,and forest plot was drawn. Results All of the included 4 studies were randomized controlled trials. At 6 month follow-up patients,the tym-panostomy tubes and tympanostomy tubes combined with adenoidectomy had no difference in hearing improvement (WMD = 1.06,95%CI-0.18 ~ 2.29,P = 0.09). At 12 month follow-up patients,the tympanostomy tubes com-bined with adenoidectomy were better than tympanostomy tubes alone(WMD = 3.03,95%CI 0.91 ~ 5.14,P =0.005). Conclusions The meta analysis result reveals that tympanostomy tubes combined with adenoidectomy have an advantage in long term follow up time for hearing improvement in children's otitis media with effusion treatment.关键词
分泌性中耳炎/腺样体切除/鼓膜置管/听力改善/Meta分析Key words
otitis media with effusion/adenoidectomy/tympanostomy tubes/hearing improvement/Meta-analysis引用本文复制引用
邹宇,刘漪,陈洽鑫,麦飞,黄亚萍,张心丽,林小燕,邓梦夏..鼓膜置管及其合并腺样体切除治疗儿童分泌性中耳炎听力改善的疗效分析:Meta分析[J].实用医学杂志,2018,34(5):842-846,5.
