Department of Otolaryngology and Head and Neck Surgery, 37637Semmelweis University, Budapest, Hungary.
Ear Nose Throat J. 2022 Sep;101(8):NP329-NP333. doi: 10.1177/0145561320969448. Epub 2020 Oct 30.
To evaluate the relationship between the loss of the cochleovestibular functions in Ménière's disease (MD).
Forty-three patients with definite MD underwent pure-tone audiometry (PTA) and caloric test. Canal paresis (CP%), dPTA (interaural difference), and average PTA results were contrasted. IBM SPSS V24 was used for statistical analysis.
According to PTA, most patients were in stage C, and caloric weakness was found in 29 patients. Linear ( = 0.06) and nonlinear correlation tests (rho = 0.245, = .113) between canal paresis (CP%) and dPTA showed no correlation, as well as between CP% and PTA analysis ( = 0.007, rho = 0.11, = .481). As per the categorial analysis, no correlation was detected between the groups either (κ = 0.174, 95% CI: 0.0883 - 0.431). Based on the results of the analysis, it was concluded that a more advanced stage determined by audiometry does not indicate increasing values in the CP% parameter.
Audiometric changes do not directly correspond with the vestibular ones; therefore, no specific correlation exists between them. Thus, for therapy planning and diagnosis, both tests are necessary.
评估梅尼埃病（MD）中耳蜗前庭功能丧失之间的关系。
43 例明确的 MD 患者接受纯音测听（PTA）和冷热试验。对比了管腔麻痹（CP%）、dPTA（耳间差异）和平均 PTA 结果。采用 IBM SPSS V24 进行统计分析。
根据 PTA，大多数患者处于 C 期，29 例患者发现冷热试验减弱。线性（ = 0.06）和非线性相关检验（rho = 0.245， =.113）显示管腔麻痹（CP%）与 dPTA 之间无相关性，CP%与 PTA 分析之间也无相关性（ = 0.007，rho = 0.11， =.481）。根据分类分析，各组之间也未发现相关性（κ = 0.174，95%CI：0.0883 - 0.431）。根据分析结果得出结论，由测听法确定的更晚期并不表示 CP%参数值增加。
听力变化与前庭变化并不直接对应；因此，它们之间不存在特定的相关性。因此，对于治疗计划和诊断，两种测试都有必要。
