感音神经性聋与分泌性中耳炎的相关性研究

Study on the correlation between sensorineural hearing loss and secretory otitis media

目的:探讨感音神经性聋与分泌性中耳炎的关系。方法:对治疗后骨导听力下降仍未恢复的38例分泌性中耳炎患者进行分析,观察健耳和患耳在不同频率的骨导听阈情况,并分别就其发病年龄、病程、积液性质和积液量与骨导听阈的关系进行观察。结果:患耳在不同频率的骨导听阈均大于健耳(均P<0.01);年龄愈大、病程愈长,感音神经性聋发生率愈高;积液为黏液者发生率高于浆液者;但与积液量无明显关系。结论:分泌性中耳炎可导致感音神经性聋,其发病原因和机制是多方面的,年龄大、病程长、积液为黏液者更易导致感音神经性聋的发生;应提高认识,早诊断,早治疗。

Objective： To explore the correlation between sensorineural hearing loss （SHL） and otitis media with effusion （OME）. Method：The data of 38 cases with OME who had no recovery of bone conduction hearing threshold were reviewed. The bone conduction hearing thresholds at different frequencies in both healthy and suffering ears were measured and their relationship with age, duration, character and amount of effusion were also discussed. Result： At different frequencies, the bone conduction hearing thresholds of the suffering ear were higher than those of the healthy ear （ P〈0.05）. The older of the age and the longer of the duration, the more possibility of SHL occurrence. Its occurrence was more likely to appear in patients with mucous effusion than in patients with serous effusion, however, it had no relationship with the amount of the effusion. Conclusion： OME may lead to SHL, and the etiology and mechanism is complicated and unclear. The patients with older age, longer duration and mucous effusion are more susceptible to SHL, and should be early diagnosed and managed.