鼓室导抗图与颞骨CT对分泌性中耳炎的诊断价值比较  

A Contrastive Analysis on the Value of Tympanograms and of Temporal Bone CT Scans in Diagnosis of Secretory Otitis Media

作　　者：黄孝文[1] 王春芳[1] 曹平平[1] 崔伟伟[1] 蔡兰军[1] 崔永华[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院耳鼻咽喉头颈外科,武汉430030

出　　处：《听力学及言语疾病杂志》2013年第5期483-485,共3页Journal of Audiology and Speech Pathology

摘　　要：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CT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。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 hospitalized 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 diagnostic 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 statistically signifieant（P〈0.01）. Conclusion The temporal bone CT scan, with a higher diagnostic value for middle ear effusion in secretory otitis media, could he used as a supplement to the acoustic immittance measurement, especially to non--B tympanograms for the diagnosis of secretory otitis midia.

关 键 词：鼓室导抗图 颞骨CT 分泌性中耳炎 中耳积液 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]