CAJ | 학술논문

目的将鼓室导抗图、纯音听阈与耳CT结果比较,并经鼓膜切开所见验证,分析鼓室导抗图、纯音听阈和耳CT在判断中耳积液的敏感度.方法分析2007年1月至2008年6月临床诊断分泌性中耳炎住院治疗的患者,将其病史、平均听阈、CT结果进行Logistic分析.结果 40例(75耳)患者中男28例(53耳),女12例(22耳).年龄最小3岁6个月,最大11岁10个月,平均6岁6个月.鼓膜切开证实中耳有分泌物62耳(82.7%),无明显分泌物13耳(17.3%).鼓膜置管23耳.统计学分析结果显示,听力损失程度、CT结果与中耳积液有相关性(r值分别为1.392、1.355;P值均＜0.05).结论通过鼓膜情况、鼓室导抗图和平均听阈综合判断中耳积液有较高的敏感度.特别以传导性听力损失程度判断有无中耳积液有较高特异性.分泌性中耳炎的患儿,除常规耳科检查,应首先进行声导抗,纯音测听检查.尽管耳CT具有较高的敏感度但是由于其副作用的局限,不建议作为分泌性中耳炎的常规检查.
목적 장고실도항도、순음은역여이CT결과비교,병경고막절개소견험증,분석고실도항도、순음은역화이CT재판단중이적액적민감도.방법 분석2007년1월지2008년6월림상진단분비성중이염주원치료적환자,장기병사、평균은역、CT결과진행Logistic분석.결과 40례(75이)환자중남28례(53이),녀12례(22이).년령최소3세6개월,최대11세10개월,평균6세6개월.고막절개증실중이유분비물62이(82.7%),무명현분비물13이(17.3%).고막치관23이.통계학분석결과현시,은력손실정도、CT결과여중이적액유상관성(r치분별위1.392、1.355;P치균＜0.05).결론 통과고막정황、고실도항도화평균은역종합판단중이적액유교고적민감도.특별이전도성은력손실정도판단유무중이적액유교고특이성.분비성중이염적환인,제상규이과검사,응수선진행성도항,순음측은검사.진관이CT구유교고적민감도단시유우기부작용적국한,불건의작위분비성중이염적상규검사.
Objective To evaluate the fluid in middle ear of otitis media with effusion(OME)by tympanometry.hearing threshold and in order to an effective and promptly way for treatment.Methods Forty Patients(75 ears)with OME were collected since January 2007 to June 2008.The history of hearing loss,hearing threshold,CT results and the final fluid in the middle ear during operation were analyzed.Results There were 28 males and 12 females enrolled in this study.The average age of the patients was 78 months.All the 75 ears were with type"B"according to tympanometry test.For all the Patients myringotomy was performed and the ventilation tubes were placed in 23 ears.Among all the ears,there were fluid in 62 ears(82.7%)and no fluid in 13 ears(17.3%).,There was correlation between the levels of hearing loss.CT results and the fluid in middle ear(P＜0.05).Conclusions Tympanometry and hearing threshold results should have a better sensitivity and specificity rates for diagnosis of OME.