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儿童急性鼻鼻窦炎纯音测听和声导抗异常的临床分析
引用本文:李湘胜,赵斯君. 儿童急性鼻鼻窦炎纯音测听和声导抗异常的临床分析[J]. 临床小儿外科杂志, 2014, 0(6): 550-551
作者姓名:李湘胜  赵斯君
作者单位:1. 长沙市第四医院耳鼻咽喉头颈外科 湖南省长沙市,410006
2. 湖南省儿童医院耳鼻咽喉头颈外科 湖南省长沙市,410007
摘    要:
目的通过观察分析儿童急性鼻—鼻窦炎纯音测听和声导抗异常,初步探讨急性鼻—鼻窦炎导致分泌性中耳炎的因素。方法通过观察61例(122耳)急性鼻—鼻窦炎患儿的纯音测听和声导抗检查判定是否合并分泌性中耳炎,并分析治疗前后检查结果的变化。结果61例患儿中,纯音测听和声导抗异常者15例(26耳),其中变应性鼻炎组7例(12耳),急性鼻—鼻窦炎组8例(14耳),治疗2周后26耳全部听力恢复正常,声导抗由 B 型转为 A 型。随访3个月,未见复发。结论部分儿童急性鼻—鼻窦炎患儿纯音测听和声导抗结果存在异常,有分泌性中耳炎的可能,早期治疗可阻断分泌性中耳炎发展。

关 键 词:鼻窦炎  中耳炎  测听法,纯音  儿童

Clinical analysis of abnormal pure tone audiometry and acoustic immittance in children with acute nose-sinusitis
LI Xiang-sheng,ZHAO Si-jun. Clinical analysis of abnormal pure tone audiometry and acoustic immittance in children with acute nose-sinusitis[J]. Journal of Clinical Pediatric Surgery, 2014, 0(6): 550-551
Authors:LI Xiang-sheng  ZHAO Si-jun
Affiliation:LI Xiang-sheng, ZHAO Si-jun( 1, Department of ENT, The Fourth Hospital of Changsha Hunan, Changsha 410006, China,2, Hunan Children' s Hospital, Changsha 410007, China)
Abstract:
Objetive To investigate the factors of acute nose-sinusitis,which could lead to secretory oti-tis media by observing the abnormal pure tone audiometry and acoustic immittance in children that with acute nose-sinusitis. Methods To estimate whether 61 cases (122 ears)with acute nose-sinusitis in children merg-er with secretory otitis media by observing pure tone audiometry and acoustic immittance,and analyze the change of the test results before and after the treatment.Results There were 15 cases (26 ears)in abnormal, including 7 cases (12 ears)allergic rhinitis and 8 cases (14 ears)acute nose-sinusitis group,26 ears recov-ered to normal hearing,acoustic immittance changed from type B to type A.All cases received a follow-up of 3 months,no recurrence occurred. Conclusion Part of the children’s pure tone audiometry and acoustic immit-tance are abnormal,which could lead to secretory otitis media.The early treatment could block the develop-ment of secretory otitis media.
Keywords:Sinusitis  Otitis Media  Audiometry,Pure-Tone  Child
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