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脉性耳中的声音测量:对171名患者的审查
Sander W J Ubbink1, Rutger Hofman1, Pim van Dijk1
1Departments of Otorhinolaryngology/Head & Neck Surgery.
概括
外耳道声音测量可以在近一半的诊断病例中对脉动性耳 (PT) 进行客观化. 这种方法有助于排除动脉病理,如当不检测PT时持续动脉静脉 (DAVFs).
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 诊断成像 诊断成像 诊断成像
- 听觉医学 听觉医学
背景情况:
- 脉冲性耳声 (PT) 是一个具有挑战性的疾病,难以客观地诊断.
- 识别PT的潜在病因对于有效的管理至关重要.
研究的目的:
- 评估外部耳道声音测量对脉动性耳的诊断效用.
- 与临床发现和成像相比,确定音频录音对PT客观化的有效性.
主要方法:
- 对一系列前性声音测量的回顾性图表审查.
- 分析了2016年至2023年期间接受诊断工作的171名PT患者的数据.
- 对不同病理 (动脉,静脉,非血管) 的声音测量检测率的比较.
主要成果:
- 通过成像,在57%的患者中发现了PT的可识别病因.
- 声音测量成功地对48%诊断出病因的患者进行了PT的客观化.
- 与静脉 (50%) 或非血管 (22%) 原因相比,动脉病理 (73%) 和特别是持续性动脉静脉 (DAVFs) (100%) 的PT检测率更高.
- 声音测量表明,在检测噪声方面,比听觉更灵敏.
结论:
- 外耳道声音录音可以在很大一部分情况下对脉动性耳进行客观化.
- 通过声音测量未被检测到的PT可能表明动脉病理,特别是DAVFs的可能性较低.
- 声音测量与临床评估和成像相结合,为PT患者提供了额外的诊断价值.
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