不同咽鼓管功能评价方法与手术探查吻合度的临床研究  

Clinical research on consistency of different evaluation methods for eustachian tube function and surgery exploration

作　　者：王薇[1] 孙学威[1] 孙娟[1] WANG Wei;SUN Xuewei;SUN Juan(Department of Otolaryngology,the Affiliated Hospital of Inner Mongolia Medical University,Hohhot Inner Mongolia 010059,China)

机构地区：[1]内蒙古医科大学附属医院耳鼻喉科,内蒙古呼和浩特010059

出　　处：《局解手术学杂志》2018年第3期191-195,共5页Journal of Regional Anatomy and Operative Surgery

基　　金：内蒙古自然科学基金(2016MSLH0801)

摘　　要：目的对比颞骨HRCT扫描、鼓室滴药法和声导抗测试与手术探查情况的吻合度,确定最佳的咽鼓管功能评价方法。方法选取我院2015年3月至2017年3月具有手术指征的68例中耳炎患者,分别使用颞骨HRCT扫描、鼓室滴药法和声导抗测试3种方法评价其咽鼓管功能,并与手术中探查的最终结果进行对比。结果颞骨HRCT扫描、鼓室滴药法和声导抗测试的结果与手术中探查结果吻合度分别为κ=0.625,κ=0.472,κ=0.912,吻合度均在一般以上(κ≥0.4),说明3种方法均为可靠的评估咽鼓管功能的方法。结论 3种方法中声导抗测试最准确,其次分别为颞骨HRCT、鼓室滴药法,推荐临床采用声导抗法检测中耳炎患者咽鼓管功能。Objective To compare the consistency of temporal bone HRCT,tympanium drip method,impedance audiometry for eustachian tube function and exploratory surgery,and to determine the best method for evaluation of eustachian tube function.Methods The examination of the eustachian tube function were given on 68 cases of otitis media with the surgical indication by these three methods above-mentioned in turn.And then compare the evaluation results with the exploratory surgery.Results The count data matching test of temporal bone HRCT,tympanium drip method and impedance audiometry compare with surgery exploration results wereκ=0.625,κ=0.472,κ=0.912,respectively,which were in general degree(κ≥0.4).It suggested that the three methods were reliable for evaluation of eustachian tube function.Conclusion Among these three methods,impedance audiometry is the most accurate one,and then temporal bone functional HRCT,the last one is tympanium drip,therefore,the method of impedance audiometry is promoted to evaluate the function of eustachian tube.

关 键 词：颞骨HRCT扫描 鼓室滴药法 声导抗测试 咽鼓管功能评价 

分 类 号：R764.31[医药卫生—耳鼻咽喉科] R816.96[医药卫生—临床医学]