分泌性中耳炎误诊原因分析  

Analysis of Causes in Misdiagnosis of Secretory Otitis Media1

作　　者：王最青[1] 彭波[1] 

机构地区：[1]广东医学院第二附属医院耳鼻咽喉科,广东湛江524003

出　　处：《国际医药卫生导报》2006年第16期79-80,共2页International Medicine and Health Guidance News

摘　　要：目的分析分泌性中耳炎误诊的相关因素,拟减少误诊率,提高诊治水平。方法对2002年1月～2004年12月资料完整的365例(405耳)分泌性中耳炎病人中曾发生误诊、漏诊的36例(40耳)进行回顾性分析。结果误诊为感音神经性耳聋22例,突发性耳聋6例,漏诊8例。主要原因:①纯音测听表现为骨导听力损失误诊为感音神经性耳聋;②声阻抗表现为C型曲线而引起漏诊;③症状不典型、问病史不详细、检查鼓膜不仔细而引起。结论分泌性中耳炎可引起内耳功能的紊乱,导致骨导听阈改变,应根据年龄、病史、结合听力图及声阻抗进行综合分析,减少误诊率。Objective To discuss the causes of mistaken diagnosis of secretory otitis media （SOM） ,and to reduce the rate of misdiagnosis. Methods During the years of 2001-2005 ,365 cases （405ears） with intact data were diagnosed as S0M and ana2 lyzed retrospectively. Results The 36 cases （40ears） were either misdiagnosed as sensorineural deafness and sudden deafness or missed. The three causes for misdiagnosis of SOM： ①BC threshold was raised ②C -curve was appeared in examination of acoustic immittance. ③equivocal symptoms ;carelessness in history -enquiry ; carelessness in examination of thetympanic membrane. Conclusion BC threshold was raised in S0M , A comprehensive analysis should be made on the basis of the age , past history , pure tone audiogram and acoustic impedance of the patients.

关 键 词：分泌性中耳炎 诊断 误诊 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]