摘要
目的 探讨先天性耳廓畸形与中耳畸形的相关性及其意义.方法 收集自2008年1月至2009年12月在复旦大学附属眼耳鼻喉科医院就诊的86例先天性外中耳畸形患者的资料,其中男51例,女35例;单侧58例（右侧34例,左侧24例）,双侧28例;共计114耳.收集所有患者颞骨高分辨率CT资料,参照Jahrsdoerfer评分标准对中耳畸形情况进行评分,同时按照Marx H分度标准对耳廓畸形进行分度,并将耳廓畸形分度与中耳畸形评分进行Spearman秩相关分析.结果 86例先天性外中耳畸形患者中耳廓畸形Marx H分度结果为：Ⅰ度12耳,Ⅱ度25耳,Ⅲ度77耳,相应的Jahrsdoerfer评分（（-x）±s）分别为（7.8±2.4）、（6.8±2.6）、（6.0±2.8）分.耳廓畸形Marx H分度与中耳畸形Jahrsdoerfer评分呈现出负相关趋势（r=-0.2386,P=0.0106）.结论 先天性外中耳畸形患者的耳廓畸形程度与中耳畸形程度具有一定的相关性.
Objective To explore the potential value of knowing the relationship between congenital auricular deformities and middle ear malformations. Methods A total of 86 patients with congenital auricular deformities and middle ear malformations, including 51 males and 35 females, were admitted from January 2008 to December 2009 to the Eye Ear Nose and Throat Hospital of Fudan University. Fifty-eight with congenital auricular deformties were included. High-resolution CT （HRCT） data was obtained from each patient. The auricular deformities were classified into three grades using the Marx H classification system. The modified Jahrsdoerfer grading system was used to score the malformations using HRCT data.The correlation between the grades of auricular deformities and scores of middle ear malformations was analyzed using Spearman rank correlation analysis. Results The Marx H grades of congenital auricular deformties were 12 patients with grade Ⅰ , 25 patients with grade Ⅱ and 77 patients with grade Ⅲ, while their corresponding Jahrsdoerfer scores were 7.8 ± 2.4, 6.8 ± 2. 6 and 6.0 ± 2. 8, respectively. The statistical analysis suggested a trend of negative correlation between the Marx H grades of auricular deformities and the Jahrsdoerfer scores of middle ear malformations （ r = - 0. 2386, P = 0. 0106 ）.Conclusion There was a trend to a negetive correlation between congenital auricular deformities and middle ear malformations.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2010年第8期628-631,共4页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
基金
上海市人才发展资金资助项目（040）
复旦大学重点学科创新人才培养计划资助（081109305）
关键词
外耳
中耳
先天畸形
体层摄影术
X线计算机
面神经
Ear, external
Ear middle
Congenital abnormalities
Tomography, X-ray computed
Facial nerve
