摘要
目的总结分析无耳部临床表现的婴幼儿中耳乳突存在异常信号的MRI病例,探讨其诊断价值。方法结合硬性耳内镜和1000 Hz声阻抗检查,总结分析42例(62耳)患儿无临床表现的中耳乳突存在异常信号影的MRI资料。结果这些中耳乳突存在长T2信号影病例中,50耳可诊断为中耳炎,占80.7%;10耳提示存在一定的中耳功能障碍,占16.1%;2耳尚不能明确中耳异常长T2信号原因,占3.2%。结论无耳部临床表现的婴幼儿中耳鼓室存在异常长T2信号的MRI患儿中有80.7%以上是与中耳炎相关,据此有助于临床制订治疗方案和疗效评估。
OBJECTIVE To analyse the result of mastoid abnormal MRI singals in infants without clinical symptoms and to evaluate the diagnostic value. METHODSThe MRI data of abnormal signals in the middle ear and mastoid of 42 infants（62 ears） were analyzed with 1000 Hz probe tone tympanometry and oto-endoscope. RESULTS Of the infants with abnormal MRI signals of the middle ear and mastoid, 50 ears were secretory otitis media（80.7%）, 10 ears had dysfunction of middle ear（16.1%）, and 2 ears were not identified. CONCLUSION In the infant who had a abnormal long T2 singals MRI but without clinical symptoms, 80.7% were caused by SOM or AOM. It is valuable for clinical efficacy evaluation and treatment planning in advance.
作者
王登茂
苏金柱
左路杰
耿江桥
宋英鸾
焦祺
郑文娟
WANG Dengmao1, SU Jinzhu1, ZUO Lujie1, GENG Jiangqiao1, SONG Yingluan1, JIAO Qi2, ZHENG Wenjuan1(1 Department of Otolaryngology, 2 Department of Computed Tomography, Hebei Province Children＇s Hospital,Shijiazhuang, Hebei, 050031, Chin)
出处
《中国耳鼻咽喉头颈外科》
CSCD
2018年第3期136-138,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
关键词
婴儿
儿童
中耳
磁共振成像
声阻抗试验
中耳炎
伴渗出液
Infant
Child
Ear, Middle
Magnetic Resonance Imaging
Acoustic Impedance Tests
Otitis Media with Effusion
