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耳硬化症镫骨手术后听力测定结果评估的疗效。II. 个体病例结果报告方法。

Efficacy of evaluation of audiometric results after stapes surgery in otosclerosis. II. A method for reporting results from individual cases.

作者信息

de Bruijn A J, Tange R A, Dreschler W A

机构信息

Department of Otorhinolaryngology and Head and Neck Surgery and the Department of Audiology (Professor Dreschler), Academic Medical Center, University of Amsterdam.

出版信息

Otolaryngol Head Neck Surg. 2001 Jan;124(1):84-9. doi: 10.1067/mhn.2001.111600.

DOI:10.1067/mhn.2001.111600
PMID:11228459
Abstract

To standardize the reporting of hearing results after middle ear surgery, the Committee on Hearing and Equilibrium of the American Academy of Otolaryngology-Head and Neck Surgery proposed 2 levels of guidelines: level 1 for reporting summary data and level 2 for reporting raw data. The Committee encourages the reporting of raw data from each individual case. However, in studies in which the examined population is too large, this can yield difficulties. With respect to this point, we designed a method for a simple visual presentation of hearing results in an attempt to provide data from each individually operated ear in a patient group. In this method the relation between the preoperative and postoperative bone-conduction levels is evaluated to assess overclosure and iatrogenic cochlear damage, and the relation between postoperative gain in air conduction and the preoperative air-bone gap is evaluated as a measure of technical success rate. This results in 2 plots, which we called the Amsterdam Hearing Evaluation Plots. Audiometric data from 451 stapes operations were used to demonstrate the use of the Amsterdam Hearing Evaluation Plots.

摘要

为规范中耳手术后听力结果的报告,美国耳鼻咽喉-头颈外科学会听力与平衡委员会提出了两级指南:一级用于报告汇总数据,二级用于报告原始数据。该委员会鼓励报告每个病例的原始数据。然而,在受检人群规模过大的研究中,这可能会带来困难。关于这一点,我们设计了一种简单直观呈现听力结果的方法,试图提供患者群体中每只接受手术耳朵的数据。在这种方法中,评估术前和术后骨导水平之间的关系以评估过度闭合和医源性耳蜗损伤,评估术后气导增益与术前气骨导间距之间的关系作为技术成功率的衡量指标。这产生了两个图表,我们称之为阿姆斯特丹听力评估图表。来自451例镫骨手术的听力数据用于展示阿姆斯特丹听力评估图表的应用。

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