Analysis on the Hearing Test Results for Patients with Chronic Suppurative Otitis Media_West China Medical Journal

Authors：

TAO Yong ,  ZHENG Yun , WANG Kai , XU Ke , MENG Zhaoli

Department of Otorhinolaryngology, Head and Neck Surgery, Hearing Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R.China;

Corresponding author：

ZHENG Yun, Email: ykq83@163.com

Keywords：

慢性化脓性中耳炎; 听力检查

Video：

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【摘要】　目的　了解慢性化脓性中耳炎患者的听力学检查特点。　方法　回顾性分析2005年8月—2008年12月间就诊的382例确诊为慢性化脓性中耳炎患者的听力学检查资料。　结果　慢性化脓性中耳炎中男性和单耳患者居多，任何年龄均可发病，以中度传导性听力损失为主，鼓室图形态各异，耳道容积变大。　结论　慢性化脓性中耳炎是常见的耳科疾病，需及时治疗，听力学检查对于指导治疗方案和评估预后意义重大。
【Abstract】　Objective　 To learn the audiological characteristics of chronic suppurative otitis media patients.　Methods　 We retrospectively analyzed the audiologic data of 382 patients diagnosed with chronic suppurative otitis media treated in our hospital from August 2005 to December 2008.　Results　 The number of male chronic suppurative otitis media patients was more than female patients, and single ear infections are more than infections of both ears. The onset of the disease could be at any age. Most of the patients had a moderate conductive hearing loss. All kinds of tympanogram were found,and ear canal volume of the patients was enlarged.　Conclusion　 Chronic suppurative otitis media is a common disease of the ear, which needs timely treatment, and audiological tests are important in guiding treatment plans and assessing prognosis.

Citation： TAO Yong,ZHENG Yun,WANG Kai,XU Ke,MENG Zhaoli. Analysis on the Hearing Test Results for Patients with Chronic Suppurative Otitis Media. West China Medical Journal, 2011, 26(6): 919-921. doi: Copy

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5.	Walby AP, Barreta A, Schukecht HF. Cochlear pathology in chronic suppurative otitis media[J]. Ann Otol Rhinol Laryngol, 1983, 103(Suppl): 1-19.
6.	冀永进, 马敏, 赵海亮. 慢性化脓性中耳炎病原菌检测及耐药性分析[J] 中国耳鼻咽喉头颈外科, 2004, 11(4): 217-219.
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8.	江广理, 廖康, 樊韵平, 等. 317例慢性化脓性中耳炎的细菌学及药物敏感性分析[J]. 中华耳科学杂志, 2006, 4(1): 39-42.
9.	Khanna V, Chander J, Nagarkar NM, et al. Clinicomicrobiologic evaluation of active tubotympanic type chronic suppurative otitis media[J]. J Otolaryngol, 2000, 29(3): 148-153.
10.	朱富高, 孙美红, 华辉. 慢性化脓性中耳炎的听骨链病变及对听力的影响[J]. 临床耳鼻咽喉头颈外科杂志, 2008, 22(7): 312-314.
11.	Da Costa SS, Rosito LP, Dornelles C. Sensorineural hearing loss in patients with chronic otitis media[J]. Eur Arch Otorhinolaryngol, 2009, 266(2): 221-224.
12.	肖社平, 谭代忠, 廖敏清, 等. 声导抗测试对慢性化脓性中耳炎咽鼓管功能的评价[J]. 临床耳鼻咽喉科杂志, 2006, 20(7): 306-311.

1. 　张晓彤, 张青, 任晓勇, 等. 慢性化脓性中耳炎的治疗[J]. 中国耳鼻咽喉头颈外科, 2008, 15(5): 293-295.
2. 　Smith AW. The World Health Organization’s programme for the prevention of deafness and hearing impairment[J]. Scand Audiol Suppl, 1997, 45(4): 11-14.
3. 　冯红云, 陈瑛, 丁元萍. 慢性化脓性中耳炎术前检查指标和听骨链状态的相关性分析[J]. 临床耳鼻咽喉科杂志, 2005, 19(1): 7-8, 11.
4. 　吴雅琴, 殷善开, 张胜兰, 等. 慢性化脓性中耳炎鼓室硬化的临床分析[J]. 临床耳鼻咽喉科杂志, 2006, 20(22): 1016-1017.
5. 　Walby AP, Barreta A, Schukecht HF. Cochlear pathology in chronic suppurative otitis media[J]. Ann Otol Rhinol Laryngol, 1983, 103(Suppl): 1-19.
6. 　冀永进, 马敏, 赵海亮. 慢性化脓性中耳炎病原菌检测及耐药性分析[J] 中国耳鼻咽喉头颈外科, 2004, 11(4): 217-219.
7. 　薛建荣, 徐勤, 张堰, 等. 近年慢性化脓性中耳炎病原菌的变化[J]. 临床耳鼻咽喉科杂志, 2003, 17(7): 441.
8. 　江广理, 廖康, 樊韵平, 等. 317例慢性化脓性中耳炎的细菌学及药物敏感性分析[J]. 中华耳科学杂志, 2006, 4(1): 39-42.
9. 　Khanna V, Chander J, Nagarkar NM, et al. Clinicomicrobiologic evaluation of active tubotympanic type chronic suppurative otitis media[J]. J Otolaryngol, 2000, 29(3): 148-153.
10. 　朱富高, 孙美红, 华辉. 慢性化脓性中耳炎的听骨链病变及对听力的影响[J]. 临床耳鼻咽喉头颈外科杂志, 2008, 22(7): 312-314.
11. 　Da Costa SS, Rosito LP, Dornelles C. Sensorineural hearing loss in patients with chronic otitis media[J]. Eur Arch Otorhinolaryngol, 2009, 266(2): 221-224.
12. 　肖社平, 谭代忠, 廖敏清, 等. 声导抗测试对慢性化脓性中耳炎咽鼓管功能的评价[J]. 临床耳鼻咽喉科杂志, 2006, 20(7): 306-311.

West China Medical Journal

Analysis on the Hearing Test Results for Patients with Chronic Suppurative Otitis Media

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