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耳蜗电图Sp/Ap面积比在梅尼埃病诊断中的作用
引用本文:黄秋红,邱泽恒,张志钢,区永康,杨海弟,郑亿庆.耳蜗电图Sp/Ap面积比在梅尼埃病诊断中的作用[J].临床耳鼻咽喉头颈外科杂志,2011,25(1).
作者姓名:黄秋红  邱泽恒  张志钢  区永康  杨海弟  郑亿庆
作者单位:中山大学听力与言语研究所,中山大学孙逸仙纪念医院耳鼻咽喉科
基金项目:“十一五”国家科技支撑计划课题(No:200/BAI181313)
摘    要:目的:比较耳蜗电图中不同指标Sp/Ap的振幅比和面积比对梅尼埃病辅助诊断的敏感性。方法:通过将梅尼埃病患者耳蜗电图中Sp/Ap的振幅比和面积比分别与其正常水平值相比较,试图寻找更敏感的指标来提高耳蜗电图对梅尼埃病的诊断敏感性。结果:35例梅尼埃病患者中有48.6%的患者Sp/Ap振幅比>0.4,若参照10例(20耳)正常人所得Sp/Ap的振幅比参考值范围(高限0.49,95%置信区间),阳性率只有39.1%,参照10例(20耳)正常人所得Sp/Ap的面积比参考值范围(高限1.92,95%置信区间),35例梅尼埃病患者中有28例Sp/Ap的面积比高于1.92,阳性率为77.1%。结论:采用Sp/Ap的面积比能提高对梅尼埃病的诊断敏感性。

关 键 词:耳蜗电图  梅尼埃病  诊断  

Utility of Sp/Ap curve area ratio electrocochleography in diagnosis of Meniere's disease
HUANG Qiuhong,QIU Zeheng,ZHANG Zhigang,OU Yongkang,YANG Haidi,ZHENG Yiqing.Utility of Sp/Ap curve area ratio electrocochleography in diagnosis of Meniere''s disease[J].Journal of Clinical Otorhinolaryngology,2011,25(1).
Authors:HUANG Qiuhong  QIU Zeheng  ZHANG Zhigang  OU Yongkang  YANG Haidi  ZHENG Yiqing
Institution:HUANG Qiuhong QIU Zeheng ZHANG Zhigang OU YongkangYANG Haidi ZHENG Yiqing(Institute of Hearing and Speech-Language Science,Sun Yat-sen University,Department of Otolaryngology,Sun Yat-sen Memorial Hospital of Sun-Yat-sen University,Guangzhou,510120,China)
Abstract:Objective:Comparison of the sensetivitity of Sp/Ap amplitude and area ratio in the aid of diagnosis of Meniere's disease.Meniere's disease was defined by the 1995 American Academy of Otolaryngology-Head and Neck Surgery Committee on Hearing and Equilibrium.Method:The study sample consisted of 35 patients in our hospital, who were undergone tympanic electrocochleography (EcochG). A control group of 10 patients (20 ears) with normal Sp/Ap ratio and EcochG data were identified. Sp/Ap amplitude and area curve r...
Keywords:electrocochleography  Meniere's disease  diagnosis  
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