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在健康儿童中,声导抗测管法作为咽鼓管通气功能测试的可重复性。

Reproducibility of sonotubometry as Eustachian tube ventilatory function test in healthy children.

作者信息

van der Avoort Stijn J C, van Heerbeek Niels, Snik Ad F M, Zielhuis Gerhard A, Cremers Cor W R J

机构信息

Department of Otorhinolaryngology, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 15, 6500 HB Nijmegen, The Netherlands.

出版信息

Int J Pediatr Otorhinolaryngol. 2007 Feb;71(2):291-5. doi: 10.1016/j.ijporl.2006.10.015. Epub 2006 Nov 28.

Abstract

OBJECTIVES

To devise a simple and reliable diagnostic procedure to test Eustachian tube function routinely in an ENT outpatient setting. One method to measure ET ventilatory function is sonotubometry. The reproducibility of a recently updated sonotubometry set-up was tested in healthy children.

METHODS

The test population comprised 61 school children aged from 6 to 8 years. Only otologically healthy children were included. Health state was established by means of a 12-item questionnaire. To test reproducibility, sonotubometric testing took place in two sessions of 10 acts of swallowing each. Spearman's coefficient was used to test the correlation between the two sets of measurements. All testing took place at a primary school in a nearby village.

RESULTS

Opening of the ET was recorded in at least one of the two measurement sessions in 82% of the children. The first and second sessions were highly correlated, with a Spearman's coefficient of 0.89.

CONCLUSIONS

In otologically healthy children, opening of the ET was recorded frequently using the updated sonotubometry set-up. Measurement results had high reproducibility. Therefore, the test forms a useful method to assess ET ventilatory function in otologically healthy children. The performance of this updated version needs to be established in children with otological diseases.

摘要

目的

设计一种简单可靠的诊断程序,以便在耳鼻喉科门诊环境中常规检测咽鼓管功能。测量咽鼓管通气功能的一种方法是声管测量法。对最近更新的声管测量装置在健康儿童中的可重复性进行了测试。

方法

测试人群包括61名6至8岁的学童。仅纳入耳科健康的儿童。通过一份包含12个条目的问卷确定健康状况。为测试可重复性,声管测量测试分两个阶段进行,每个阶段进行10次吞咽动作。使用斯皮尔曼系数来测试两组测量值之间的相关性。所有测试均在附近村庄的一所小学进行。

结果

82%的儿童在两次测量阶段中的至少一次记录到了咽鼓管开放。第一阶段和第二阶段高度相关,斯皮尔曼系数为0.89。

结论

在耳科健康的儿童中,使用更新后的声管测量装置经常能记录到咽鼓管开放。测量结果具有很高的可重复性。因此,该测试是评估耳科健康儿童咽鼓管通气功能的一种有用方法。该更新版本在患有耳科疾病的儿童中的性能有待确定。

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