CAJ | 학술논문

目的分析鼓室导抗图和颞骨CT检查对分泌性中耳炎鼓室积液的诊断价值。方法回顾性分析150例（260耳）慢性分泌性中耳炎患者的临床资料，以术中发现鼓室积液为金标准，分别计算各种类型异常鼓室导抗图和颞骨CT对分泌性中耳炎的诊断符合率。结果 B、C、As型鼓室导抗图对分泌性中耳炎中耳积液的诊断符合率分别为94．52％（138/146耳）、86．49％（64/74耳）、80．0％（4/5耳），异常鼓室导抗图综合诊断符合率为91．56％（206/225耳），而颞骨C T的诊断符合率为99．15％（117/118耳），高于异常鼓室导抗图的综合诊断符合率，差异有统计学意义（P＜0．01）。结论颞骨CT和鼓室导抗图检查在分泌性中耳炎诊断中的价值均很高，在出现非B型鼓室导抗图时，前者可作为后者的补充。
목적분석고실도항도화섭골CT검사대분비성중이염고실적액적진단개치。방법회고성분석150례（260이）만성분비성중이염환자적림상자료，이술중발현고실적액위금표준，분별계산각충류형이상고실도항도화섭골CT대분비성중이염적진단부합솔。결과 B、C、As형고실도항도대분비성중이염중이적액적진단부합솔분별위94．52％（138/146이）、86．49％（64/74이）、80．0％（4/5이），이상고실도항도종합진단부합솔위91．56％（206/225이），이섭골C T적진단부합솔위99．15％（117/118이），고우이상고실도항도적종합진단부합솔，차이유통계학의의（P＜0．01）。결론섭골CT화고실도항도검사재분비성중이염진단중적개치균흔고，재출현비B형고실도항도시，전자가작위후자적보충。
Objective To investigate and contrastive analyse the respective value of tympanograms and high resolution CT scan of temporal bone in the diagnosis of secretory otitis media .Methods The clinical data of 150 hos-pitalized patients with secretory otitis media in Department of ENTHNS ,Tongji Hospital ,Wuhan from 2009 to 2012 were retrospectively analyzed .Based on the surgical finding of tympanic cavity fluid ,the diagnostic accordance rate of tympanograms and temporal bone CT for middle ear effusion were calculated respectively ,and their diagnos-tic value were evaluated .Results The diagnostic accordance rate of tympanogram B for the middle ear effusion in secretory otitis media was 94 .5% (138/146 ears) ,the rate of abnormal tympanograms was 91 .6% (206/225 ears) , while temporal bone CT with a rate of 99 .2% (117/118 ears) .The difference between the latter two data was statis-tically significant(P<0 .01) .Conclusion The temporal bone CT scan ,with a higher diagnostic value for middle ear effusion in secretory otitis media ,could be used as a supplement to the acoustic immittance measurement ,especially to non-B tympanograms for the diagnosis of secretory otitis midia .