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Does pneumatic otoscopy improve the diagnostic accuracy of otitis media with effusion in clinical practice? A randomized single-blind control trial.

机译：在临床实践中，气动耳镜检查是否可以提高中耳积液性中耳炎的诊断准确性？一项随机单盲对照试验。

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摘要

The study objective was to determine whether pneumatic otoscopy would improve the diagnostic accuracy of otitis media with effusion (OME) in clinical practice over otoscopy only. A randomized single-blind control trial was undertaken in 30 pediatric residents. Residents were randomized into pneumatic otoscopy (intervention) or otoscopy-only (control) groups. Both study groups received one hour of theory on OME; the intervention group also received a 30-minute teaching session that included both video-otoendoscopic examination (VOE) pneumatic assessments and one practice session. Each resident examined 10 ears and made a diagnosis of either normal or OME ears. Tympanograms were considered as the gold standard. The percent correct diagnoses in the intervention and control groups were 60% and 59%, respectively (p = 0.85).;In conclusion, pneumatic otoscopy did not significantly improve the diagnosis of otitis media with effusion in clinical settings. Further studies are needed to confirm these findings.
机译：该研究的目的是确定在临床实践中，气动耳镜检查是否比耳镜检查能提高渗出性中耳炎（OME）的诊断准确性。在30名儿科居民中进行了一项随机单盲对照试验。居民被随机分为气动耳镜检查（干预）或仅耳镜检查（对照组）。两个研究组都接受了一个小时的OME理论。干预小组还接受了30分钟的教学，其中包括视频耳镜检查（VOE）气动评估和一次练习。每位居民检查了10只耳朵，并做出了正常或OME耳朵的诊断。鼓室图被认为是金标准。干预组和对照组的正确诊断百分率分别为60％和59％（p = 0.85）。总之，在临床环境中，气动耳镜不能显着改善渗出性中耳炎的诊断。需要进一步的研究来证实这些发现。

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  • 作者

    Al-Khatib, Talal Ahmed.;

  • 作者单位

    McGill University (Canada).;

  • 授予单位 McGill University (Canada).;
  • 学科 Health Sciences Medicine and Surgery.
  • 学位 M.Sc.
  • 年度 2010
  • 页码 71 p.
  • 总页数 71
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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