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听力损失患者中耳蜗耳囊与脊柱密度之间的显著相关性。

The Significant Correlation Between the Density of the Cochlea Otic Capsule and Spine in Hearing Loss Patients.

作者信息

Yueniwati Yuyun

机构信息

Radiology Department, Faculty of Medicine, Universitas Brawijaya, Jl Veteran, Malang, 65145 Indonesia.

出版信息

Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 2):1163-1168. doi: 10.1007/s12070-018-01580-z. Epub 2019 Jan 11.

Abstract

Osteoporosis and osteopenia are systemic disorders that affect all bones. Osteoporosis in the ear bone and cochlea otic capsule contribute to the occurrence of conduction and sensorineural deaf. The osteoporosis prevalence in RSSA is 38%; meanwhile hearing interference in osteoporosis patients is 66.67%. The femur and spine DXA are the golden standard to calculate the bone mineral density. The temporal bone density can be measured with CT scan using the Hounsfield Unit units. There is a hypothesis that the femur bone mass density can illustrate the temporal bone density. This study aimed to analyzes the correlation between the density of the cochlea otic capsule and the ear bone towards the femur and spine density in patients with reduction in bone density. This was a cross-sectional observational type analytic retrospective study analyzing 30 samples of patients with a reduction in bone density that have HRCT Mastoid examination results during 2017 at RSSA Malang's osteoporosis polyclinic. From 30 samples, most were female with an age range of 51-60 years old. The average femur, spine, ear bone and cochlea otic capsule of the osteoporosis group was lower than the osteopenia group. The spine density was significantly correlated with the otic capsule density. There was a positive significant correlation between the spine density towards the otic capsule density. The lower the spine density, the lower the otic capsule became.

摘要

骨质疏松症和骨质减少是影响所有骨骼的全身性疾病。耳骨和耳蜗听囊中的骨质疏松症会导致传导性和感音神经性耳聋的发生。RSSA中的骨质疏松症患病率为38%;同时,骨质疏松症患者的听力干扰率为66.67%。股骨和脊柱双能X线吸收法是计算骨密度的金标准。颞骨密度可以使用亨氏单位通过CT扫描来测量。有一种假设认为,股骨骨密度可以说明颞骨密度。本研究旨在分析骨密度降低患者的耳蜗听囊和耳骨密度与股骨和脊柱密度之间的相关性。这是一项横断面观察性分析回顾性研究,分析了2017年在玛琅RSSA骨质疏松症专科门诊进行HRCT乳突检查的30例骨密度降低患者的样本。在30个样本中,大多数为女性,年龄范围在51至60岁之间。骨质疏松组的股骨、脊柱、耳骨和耳蜗听囊的平均值低于骨质减少组。脊柱密度与听囊密度显著相关。脊柱密度与听囊密度之间存在显著正相关。脊柱密度越低,听囊密度越低。

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