文档介绍:分泌性中耳炎致儿童骨导听阈下降21例分析
【摘要】目的探讨分泌性中耳炎(secretory otitis media SOM)对儿童骨导阈值的影响。方法回顾性分析80例(158耳)2~16岁分泌性中耳炎患者,并选取38例(53耳)同年龄段听力正常人为对照组,分析SOM导致的听力损失程度、频率特异性以及性别、左右耳侧别、病程长短等因素的影响。结果分泌性中耳炎引起听力损失骨导约在16 dBHL左右(其中骨导>20 dBHL者21例39耳,占26%),其损失程度与性别、左右耳侧别以及病程时间长短差异无统计学意义(<);各频率阈值之间差异有统计学意义,以高频下降为甚。结论分泌性中耳炎引起患儿听力损失,其听力损失可呈现多种类型,有发展成感音神经性耳聋的可能。
【关键词】分泌性中耳炎; SOM; 儿童; 感音神经性听力损失
The Analyzing 21 Cases Of Children’s Bone Conduction Threshold With Secretory Otitis Media’sInfluence
LI Xiaofeng,WANG Zhongliang,Xu Li.
Department of Otolaryngology head and Neck Surgery People’s hospital of Jiangsu,Jiangsu 225000,China
【Abstract】 Objective To explore the change of the children’s bone Conduction hearing threshold with secretory otitis
media(SOM).Methods Retrospectively analyzing 80 SOM patients(158ears)whose age from 2 to 16 years old, and chose 38 kids within the same age(53 ears)to contrast the difference:The degree of hearing loss,thefrequency specificity and the relevant factors such as gender course SOM can cause the children’s hearing loss,the threshold of Bone Conduction weuld be 16 dBHL(he threshold of Bone Conduction>20 dBHL was 21 cases,about 26%),there is not Statistics differences between the gender,the left or right ear and the course time(P<).But in the different frequency, the curve of hearing loss was SOM can ca