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为阐明能否通过外耳道内滴入滴耳液这种咽鼓管功能测试法预测儿童鼓室成形术的结果 ,本文回顾分析有关术前咽鼓管功能与鼓室成形术成功率关系的研究。结果表明无论是成人或儿童其术前咽鼓管功能测试结果并不能可靠地预测鼓室成形术的成功或失败。但许多文献已提示年龄是预测手术成功的重要因素。由于咽鼓管功能随年龄增长而成熟 ,故可能既往没有被测量的咽鼓管发育的某些方面如长度和容积与随年龄增长的成功率的上升有关 ,但这方面至今尚未完全明确。因此作者认为不要仅凭年龄而否定手术 ,手术的时机最好依患者的具体情况而定。
In order to elucidate whether the eustachian tube function test can be used to predict the results of tympanoplasty in children through ear drops in the external auditory canal, this study retrospectively analyzed the correlation between preoperative eustachian tube function and tympanoplasty success rate. The results show that both preoperative Eustachian tube function test results in adults and children do not reliably predict tympanoplasty success or failure. However, many literatures have suggested that age is an important factor in predicting the success of surgery. As Eustachian tube function matures with age, it is possible that some aspects of eustachian tube development, such as length and volume, that have not been measured in the past, are related to the increased success rate with age, but so far it is not yet fully understood. Therefore, the authors believe that not to negate the age of surgery alone, the best timing of surgery according to the specific circumstances of patients may be.