鼓室负压及积液对畸变产物耳声发射引出影响的初步观察

郝欣平; 王杰; 陈彪; 陈静; 刘辉; 傅新星

doi:10.3969/j.issn.1672-4933.2023.05.011

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鼓室负压及积液对畸变产物耳声发射引出影响的初步观察

临床研究 | 更新时间：2023-11-03

- 鼓室负压及积液对畸变产物耳声发射引出影响的初步观察
- Preliminary Observation of the Effect of Negative Pressure and Effusion in Tympanic Cavity on the Elicitation of DPOAE
- 中国听力语言康复科学杂志 2023年21卷第5期页码：492-495
- 作者机构：
  
  1.首都医科大学附属北京同仁医院耳鼻咽喉头颈外科/耳鼻咽喉头颈科学教育部重点实验室北京 100730
  2.北京市耳鼻咽喉科研究所北京 100005
- 作者简介：
  
  郝欣平博士主任医师；研究方向：耳科学
  傅新星，E-mail：fuxinxing@126.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2023.05.011
  中图分类号：
- 纸质出版日期：2023-09-15，
  
  收稿日期：2023-06-28，
- 稿件说明：
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郝欣平,王杰,陈彪等.鼓室负压及积液对畸变产物耳声发射引出影响的初步观察[J].中国听力语言康复科学杂志,2023,21(05):492-495.

HAO Xin-ping,WANG Jie,CHEN Biao,et al.Preliminary Observation of the Effect of Negative Pressure and Effusion in Tympanic Cavity on the Elicitation of DPOAE[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):492-495.
郝欣平,王杰,陈彪等.鼓室负压及积液对畸变产物耳声发射引出影响的初步观察[J].中国听力语言康复科学杂志,2023,21(05):492-495. DOI： 10.3969/j.issn.1672-4933.2023.05.011.

HAO Xin-ping,WANG Jie,CHEN Biao,et al.Preliminary Observation of the Effect of Negative Pressure and Effusion in Tympanic Cavity on the Elicitation of DPOAE[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):492-495. DOI： 10.3969/j.issn.1672-4933.2023.05.011.

摘要

目的

探索环境压与鼓室峰压补偿下畸变产物耳声发射（DPOAE）检测在分泌性中耳炎患者中的引出情况。

方法

本研究为前瞻性研究设计，收集于2023年1月～2023年4月在北京同仁医院耳鼻咽喉科诊断为分泌性中耳炎且C型鼓室图行鼓膜切开术的患者，符合纳入与排除标准的病例25例，共30侧耳。均行环境压与鼓室峰值负压补偿下的DPOAE检测。患者年龄22岁～75岁，平均年龄53.97岁。男性15例，女性10例。右耳13例，左耳17例.均为鼓膜切开术确认是否存在鼓室积液者。

结果

30侧C型鼓室图患者25侧术中发现明显积液存在；5侧术中未见明显积液。30侧患耳中环境压DPOAE仅1侧引出，10侧鼓室峰值负压补偿下DPOAE在不同频率可以引出。

结论

对于鼓室图为C型的分泌性中耳炎患者，部分环境压DPOAE引不出者峰压补偿DPOAE在不同的频率可以引出。

Abstract

Objectives

To explore the detection of distortion product otoacoustic emission (DPOAE) in patients with otitis media with effusion under the ambient and compensated tympanic peak pressure.

Methods

This is a prospective study. Patients were enrolled in this study

who were diagnosed with secretory otitis media and underwent myringotomy in the Department of Otorhinolaryngology

Beijing Tongren Hospital from January 2023 to April 2023. A total of 25 cases (30 ears) met the inclusion and exclusion criteria. DPOAE was measured under the ambient and negative compensated tympanic peak pressure. The age of the patients ranged from 22 to 75 years (mean 53.97 years)

including 15 males and 10 females. 13 cases of right ear and 7 of left ear went through myringotomy to confirm the presence of tympanic effusion.

Results

25 of 30 ears with type C tympanograms were found to have obvious effusion

while 5 with no obvious effusion during the operation. Only 1 ear could be elicited in the ambient pressure DPOAE test

and 10 ears could be elicited in the compensated tympanic peak pressure DPOAE test at different frequencies.

Conclusion

It could be elicited at different frequencies under compensated tympanic peak pressure for patients suffered from secretory otitis media with type C tympanogram

whose DPOAE cannot be measured under the ambient pressure.

关键词

分泌性中耳炎鼓室负压畸变产物耳声发射

Keywords

Otitis media with effusionNegative pressureDistortion product otoacoustic emission

references

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