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[声导抗测试在儿童传导性耳聋检测中的应用]

[Screening tympanometry in detection of conductive deafness in children].

作者信息

Lučić M, Mandilović M

出版信息

Srp Arh Celok Lek. 1988 Jul-Aug;116(7-8):675-81.

Abstract

Tympanometric examination of the air pressure in the middle ear and of the mobility of the tympano-ossicular system was carried out on 82 otologically "healthy" children. Pathologic tympanogram was found in 25.00 per cent of examined ears, i.e. in 10.37 per cent of ears with tympanogram type B and in 14.63 per cent of ears with tympanogram type C. The tonal audiometric results in children with pathologic tympanogram revealed the reduction of conductive hearing from 21 to 30 dB. In patients with tympanogram type B thanks to myringotomy a dense mucos and serous secretion was found in the middle ear of 88.24 per cent of children. In the authors' opinion tympanometry is a very advantageous method in early detection of diseases of the middle ear and deafness in children, especially of the forms with poor symptomatology and evolutive processes. The authors plead for the routine use of screening tympanometry in otologic practice, which should prevent conductive deafness in children and improve both therapeutic and social rehabilitation of children with damaged conductive hearing.

摘要

对82名耳科检查“正常”的儿童进行了中耳气压和鼓室听骨系统活动度的鼓室图检查。在25.00%的受检耳中发现了病理性鼓室图,即B型鼓室图的耳占10.37%,C型鼓室图的耳占14.63%。病理性鼓室图儿童的纯音听力测试结果显示传导性听力下降21至30分贝。在B型鼓室图的患者中,通过鼓膜切开术发现88.24%的儿童中耳有浓稠的黏液和浆液性分泌物。作者认为,鼓室图检查是早期发现儿童中耳疾病和耳聋的一种非常有效的方法,尤其是对那些症状不明显和病情发展过程不典型的病例。作者主张在耳科实践中常规使用筛查鼓室图检查,这应能预防儿童传导性耳聋,并改善传导性听力受损儿童的治疗和社会康复情况。

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