Clemis J D, Mastricola P G
Arch Otolaryngol. 1976 Nov;102(11):654-6. doi: 10.1001/archotol.1976.00780160050002.
The usefulness of a special audiometric test battery was analyzed in relation to overall and individual test efficiency for the diagnosis of retrocochlear disease. Data were collected and analyzed from 118 patients with 121 surgically confirmed acoustic neuromas and were compared with an earlier report of 200 similar cases. While audiologic testing plays a major role in the identification of retrocochlear disease, the test battery is not highly efficient. Eleven percent of our neuromas had no audiologic signs and, therefore, escaped audiologic detection. The efficiency of individual tests range from 47% to 77%, while the difference in efficiency between the tone-decay test (77%) and the entire battery (89%) indicates the continued need for more than one test. The low efficiency of some of the components justifies reappraisal and revision of the present test battery.
针对诊断蜗后疾病的总体和个体测试效率，分析了一套特殊听力测试组合的效用。收集并分析了118例患者的121例经手术证实的听神经瘤的数据，并与之前200例类似病例的报告进行了比较。虽然听力测试在蜗后疾病的识别中起着主要作用，但该测试组合效率不高。我们的听神经瘤中有11%没有听力体征，因此未被听力检测发现。单项测试的效率在47%至77%之间，而音调衰减测试（77%）和整个测试组合（89%）之间的效率差异表明仍需要不止一项测试。某些组成部分的低效率证明有必要重新评估和修订目前的测试组合。
