Reimer A
Scand Audiol. 1987;16(2):101-8. doi: 10.3109/01050398709042163.
A retrospective study was made of 97 patients with unilateral sensorineural hearing loss who underwent an audiological test battery and ABR during a 2 1/2-year period. The test battery included tone- and speech audiometry, Békésy audiometry, loudness balance test, tone decay test and impedance measurements (reflex thresholds and reflex decay). A quantitative interpretation of each audiological test was tried out and a mean value of included tests (audiological test score ATS), was compared with results of ABR. The audiological test score showed the same predictive value as ABR for detection of acoustic neurinomas. Among the auditory tests, Békésy audiometry had the lowest sensitivity. Eight patients with neurinomas were found in the series. Retrocochlear test results prevailed in another 23 ears, most often in combined hearing loss and vestibular dysfunction and in insidious or longstanding hearing loss. Quantitative interpretation of the audiological test battery is valuable for uniformity in classification of sensorineural hearing loss, and will facilitate extended studies on aetiology and course in auditory dysfunction.
对97例单侧感音神经性听力损失患者进行了一项回顾性研究，这些患者在2年半的时间里接受了一系列听力学测试和听性脑干反应（ABR）测试。该测试系列包括纯音及言语听力测定、Békésy听力测定、响度平衡测试、音调衰减测试和阻抗测量（反射阈值和反射衰减）。尝试对每项听力学测试进行定量解释，并将所纳入测试的平均值（听力学测试评分，ATS）与ABR结果进行比较。听力学测试评分在检测听神经瘤方面显示出与ABR相同的预测价值。在各项听力测试中，Békésy听力测定的敏感性最低。该系列中发现了8例听神经瘤患者。另外23只耳呈现蜗后测试结果，最常见于混合性听力损失和前庭功能障碍以及隐匿性或长期听力损失的情况。听力学测试系列的定量解释对于感音神经性听力损失分类的一致性很有价值，并且将有助于对听觉功能障碍的病因和病程进行更深入的研究。
