目的：探讨听力学相关检查对分泌性中耳炎患儿的诊断的临床意义方法57例患儿，男30例、女27例，年龄5岁至9岁，平均年龄7岁4个月。每位患儿均进行纯音测听，鼓室声导抗测试、镫骨肌声反射测试、畸变产物耳声发射、听性脑干反应测试。结果57例患儿（114耳）中99耳证实有分泌性中耳炎，99耳中C型鼓室图42耳（42.4%），B型鼓室图53耳（53.5%）,A型鼓室图4耳（4.04%）。纯音测听有气骨导差89耳（89.9%），听力正常10耳（10.1%）。听性脑干反应正常26耳（26.3%）。在鼓室图异常的95耳中，33耳（34.7%）能引出声反射，有声反射组患儿与无声反射组患儿及DPOAE通过组与未通过组分别进行纯音听阈进行t检验统计学分析，两者阈值均具有显著统计学差异(P<0.01)。结论听力学的相关综合检查对于儿童分泌性中耳炎的诊断有一定的临床意义。%Objective To investigate the value of audiology testing in assessing hearing in children with otitis media with effusion. Methods Audiology testing was conducted in 57 children (30 boys and 27girls, aver-age age=7.33 years, ranging from 5 to 9 years), including paediatric audiometry, tympanometry, acoustic re-flex threshold, distortion product otoacoustic emissions (DPOAE) and auditory brainstem responses (ABR). Results Of the 99 ears tested, tympanometry showed normal type A results in 4 ears (4.04%), type C results in 42 ears (42.4%), and type B results in 53 ears (53.5%). Audiometry results were abnormal in 89 ears (89.9%), and ABR results were normal in 26 ears (26.3%). In the 95 ears showing abnormal tympanometry, acoustic re-flex was present in 33 ears (34.7%). Audiometric thresholds showed significant differences when compared be-tween children with or without acoustic reflex and between children passing or failing DPOAE testing (P<0.01). Conclusion Audiology testing is a very important tool in assessing hearing in children with otitis media with effusion.
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