声导抗检查对儿童鼾症术前预防分泌中耳炎漏诊的必要性分析

The Necessity Analysis of Acoustic Immittance Test in the Prevention of Missed Diagnosis of Secretory Otitis Media in Children with Snoring before Operation

摘要: 目的：探讨分析声导抗检查是否应作为鼾症儿童术前检查的必要辅助检查。方法：收集安徽医科大学第一附属医院南区自开院，即2023年12月26日至2024年11月期间266例住院鼾症儿童资料，统计其中完成影像学检查如耳纤维内镜、鼻咽侧位片等及声导抗检查结果，分别分析鼾症患儿并发SOM的可能性与下颌升支高度与总前面部高度的比值(Ar-Go/N-Me, A/N)、患儿年龄的相关性，及不同性别的患病有无差异。讨论鼾症儿童术前检查项目中，声导抗检查是否应作为鼾症儿童术前常规必要检查项目。结论：1. 鼾症患儿并发SOM的概率和患病侧别数量与A/N数值正相关。2. 鼾症患儿是否并发SOM、并发SOM的患耳数量均与性别无明显差异性。3. 当年龄越大时，鼾症患儿并发SOM的概率降低，并发患耳的数量降低。

Abstract: Objective: To investigate whether acoustic immittance should be used as a necessary auxiliary examination in the preoperative examination of children with snoring. Methods: Data of 266 hospitalized children with snoring in the First Affiliated Hospital of Anhui Medical University from December 26, 2023 to November 2024 were collected. The results of imaging examinations such as otofiberscopy, lateral view of nasopharynx, and acoustic impedance were analyzed. The relationships between SOM and Ar-Go/N-Me (A/N) ratio, age, and gender were analyzed. We discuss whether acoustic impedance testing should be included as a routine and necessary preoperative examination for snoring children. Conclusion: (1) The probability of SOM and the number of affected sides in children with snoring are positively correlated with A/N value. (2) There was no significant difference in the incidence of SOM and the number of affected ears with SOM between male and female children. (3) As the age increased, the probability of SOM and the number of complicated ears decreased.