急慢性分泌性中耳炎的临床特征对比  

A comparative study on the clinical features of acute and chronic secretary otitis media

作　　者：黄丽琴[1] 郑海农[1] 温苏华[1] 

机构地区：[1]浙江医院耳鼻咽喉科,杭州310013

出　　处：《中国中西医结合耳鼻咽喉科杂志》2005年第6期308-310,共3页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的分析急慢性分泌性中耳炎的临床特征及其对该类疾病早期诊断、治疗的重要性。方法回顾分析90例(108耳)分泌性中耳炎的临床资料,分别分析比较急性组和慢性组的纯音测听和声导抗测试结果。结果急性组声导抗测试主要表现为“B”型和“C”型,慢性组主要表现为“B”型;急性组纯音测听主要表现为传导性耳聋,慢性组主要表现为混合性耳聋。两组差异有显著性意义。结论声导抗测试结合纯音测听是诊断分泌性中耳炎的重要手段,有利于分泌性中耳炎患者早期及时治疗。Objective To investigate the clinical features of acute secretary otitis media （SOM） in a comparative way with that of chronic SOM and their implications in the early diagnosis and treatment of the lesions. Methods A retrospective study was carried out among 90 cases（108 ears）. They were divided into acute group and chronic one according to their ill course. Then their clinical data, especially that of acoustic immitance audiometry and pure tone audiometry,were analyzed in a comparative way between the two groups. Results The cases with acute SOM mainly showed type“B”or“C”of tympanograms and conductive hearing loss curve in pure tone augiogram, while those with chronic SOM mainly manifested type “B” of tympanograms and mixed hearing loss curve in augiogram as determined by acoustic immitance audiometry and pure tone audiometry respectively, with very significant differences in these indexes between the two groups. Conclusions Acoustic immitance audiometry can be taken as a very important diagnostic measure for SOM when used in a combined way with pure tone audiometry and it is very beneficial for the early and appropriate treatment of these conditions.

关 键 词：分泌性中耳炎 纯音测听 声导抗测试 

分 类 号：R764.21[医药卫生—耳鼻咽喉科] R764.04[医药卫生—临床医学]