在成年人中治疗急性中耳炎与内耳参与
Soner Dogan1, Alexander M Huber1, Christof Roosli1
1Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland.
Journal of clinical medicine
|December 23, 2023
概括
手术提供了最好的听力恢复急性中耳炎与内耳干涉 (IED) 和显著的治疗前听力损失. 所有治疗都改善了听力,但手术干预在严重病例中产生了更好的结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 听力学 听力学是指听力学.
- 传染性疾病 传染性疾病
背景情况:
- 内耳感染 (IED) 是急性中耳炎 (AOM) 的罕见并发症.
- 讨论了IED与AOM的最佳治疗策略.
- 听力结果对于评估IED治疗疗效至关重要.
研究的目的:
- 为了比较AOM与IED不同治疗方式的听力结果.
- 为了确定不同程度的听力损失最有效的治疗方法.
- 在AOM患者中为IED提供治疗决策的信息.
主要方法:
- 对112名患有AOM和IED的成年患者 (2000-2020年) 的回顾性分析.
- 保守,干预和手术治疗组的比较.
- 在治疗前和治疗后使用修改后的西格尔标准进行分析的纯音调听力测量.
主要成果:
- 所有治疗组都显示出明显的听力改善 (p < 0.001).
- 操作组在治疗前有较高的听力损失 (p < 0.05),但听力完全恢复率最好.
- 高频听力损失 (2-4 kHz) 在治疗前和治疗后很常见.
结论:
- 虽然所有治疗方法都能改善AOM与IED的听力,但手术干预对治疗前有显著听力损失的患者最有效.
- 需要进一步的研究,以将研究结果推广到轻度至中度听力损失的患者.
- 治疗选择应考虑初始听力损失的严重程度.
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