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題名 | 鼻填塞病患之九步驟灌氣放氣歐氏管功能測試=Nine-step Inflation-deflation Eustachian Tube Function Test in Patients with Nasal Packing |
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作者 | 蔡孟吉; 邱國華; 郭慈雲; 楊南瑩; 范盛欽; Tasi, Meng-chi; Chiou, Kuo-hua; Kuo, Tsu-yun; Young, Nan-yin; Fann, Sheng-chin; |
期刊 | 中華民國耳鼻喉科醫學會雜誌 |
出版日期 | 19980800 |
卷期 | 33:4 1998.08[民87.08] |
頁次 | 頁53-60 |
分類號 | 416.853 |
語文 | chi |
關鍵詞 | 歐氏管功能; 九步驟灌氣放氣鼓室壓力測試; 鼻填塞; Eustachian tube function; Nine-step inflation-deflation tympanometric test; Nasal packing; |
中文摘要 | 背景:以往完整耳膜之歐氏管功能檢查為獲得較正確資訊,常須以侵襲性 方式穿刺鼓膜,並不符合生理原則。本研究採 "九步驟灌氣放氣鼓室壓力測試 "(nine-step inflation-deflation tympanometric test) 評估歐氏管功能。除探討其臨床 上的實用性外,並分析各種因素下歐氏管功能的差異。方法:每位受測者過去均無中耳疾患 病史,耳部理學檢查均正常。 分二組接受測試,一組為對照組共 154 耳,其中 88 耳於首 次測試 30 分鐘後再次接受測試; 另一為手術組共 236 耳,鼻部手術後接受兩側鼻前填塞 ,於術後第三天接受測試。以 Cantekin 之分類方法分析結果。結果:對照組中 88 耳接受 兩次測試,結果改變在一個步驟內佔 80.7%,且兩次測試之平衡能力分組無統計差異。對照 組與手術組在起始靜態中耳壓力及平衡能力分組均具明顯差異 (p<0.001)。各項因子中,性 別及手術方式無明顯差別。對照組以年齡分析亦無差異。手術組中起始靜態中耳壓力,大於 50 歲 (含 ) 與小於 50 歲兩者相較具統計意義 (p=0.006),但平衡能力分組無明顯差別。 結論:九步驟灌氣放氣鼓室壓力測試是一種穩定且簡便的檢測方法,很適合臨床上應用於耳 膜完整而懷疑歐氏管功能不良的病例。由研究結果可知鼻填塞後歐氏管功變差。 |
英文摘要 | backgroud: Various methods have been diveloped to evaluate Eustachian tubal function, but there is no truly satisfactory clinical test that is indicative in subiests with intact tympanic membrane. This paper studies the availability and usefulness of the nine-step inflation-deflation tympanometric test and the influence of anterior nasal packing on tubal function by it. Methods: The nine-step tympanometric test was used to evaluate Eustachian tubal function. The test bubjects were divided into the control and operation groups. All subjects were free of middle ear disease in the past. In both groups, local examinations revealed normal findings in the otorhinolaryngologic field, except the nasal lesions for surgery in the operation group. One hundred and fifty-four ears were included in the control group. Eighty-eight of them received retests 30 minutes after the previous test. The operation group included 236 ears. All of them accepted bilateral anterior nasal packing after operation, and the nine-step test was performed 3 days later befor nasal packing was removed. During the test, a change in middle ear pressure of 10 mmH �� O or more following swallowing was considered positive tubal function. According to Cantekin's categoriee, the results were analyzed. Results: Eighty-eight ears in the control group accepted test-retest, The change in performance within one step variability was in 80.7% of the ears. The difference between test-retest in functional grouping made no statistical significance (Paired t-test, p=0.205). 83.8% of the ears in the control group and 66.9% of the ears in the operation group manifested positive tubal function. The average resting middle ear pressure (T1) was -8.99 mmH �� O in the control group and -61.80 mmH �� O in the operation group. The differences in T1 and functional grouping between the control and operation group were all statistically significant (Student t-test, p<0.001). Sex and operation method made no difference in either group. Except T1 between older and younger subjects (≧ 50, <50) showed statistical difference in the operation group, there was no significant difference in age factor in the control and operation group. Conclusion: The nine-step tympanometric test is stable and easy to perform. It is suggested to be part of clinical test for patients with intact tympanic membrane when Eustachian tubal dysfunction is suspected. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。