摘要
目的分析分泌性中耳炎误诊的相关因素,拟减少误诊率,提高诊治水平。方法对2002年1月～2004年12月资料完整的212例(252耳)分泌性中耳炎病人中曾发生误诊、漏诊的32例(38耳)进行回顾性分析。结果误诊为感音神经性耳聋19例,突发性耳聋5例,漏诊8例。主要原因:①纯音测听表现为骨导听力损失误诊为感音神经性耳聋;②声阻抗表现为C型曲线而引起漏诊;③症状不典型、问病史不详细、检查鼓膜不仔细而引起。结论分泌性中耳炎可引起内耳功能的紊乱,导致骨导听阈改变,应根据年龄、病史、结合听力图及声阻抗进行综合分析,减少误诊率。
Objective To discuss the causes of mistaken diagnosis of secretory otitis media （SOM）, and to reduce the rate of misdiagnosis. Methods During the years of 2002 ～ 2004,212 cases （252ears） with intact data were diagnosed as SOM and analyzed retrospectively. Results The 32 cases （38ears） were either misdiagnosed as sensorineural deafness and sudden deafness or missed. The three causes for misdiagnosis of SOM ： ① BC threshold was raised ② C - curve was appeared in examination of acoustic immittance. ③equivocal symptoms;carelessness in history - enquiry; carelessness in examination of the tympanic membrane. Conclusion BC threshold was raised in SOM, A comprehensive analysis should be made on the basis of the age, past history , pure tone audiogram and acoustic impedance of the patients.
出处
《中国热带医学》
CAS
2005年第6期1269-1270,共2页
China Tropical Medicine
关键词
分泌性中耳炎
诊断
误诊
Secretory otitis media
Diagnosis
Misdiagnosis
