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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >The Erasmus atelectasis classification: proposal of a new classification for atelectasis of the middle ear in children.
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The Erasmus atelectasis classification: proposal of a new classification for atelectasis of the middle ear in children.

机译：伊拉斯莫斯肺不张分类：为儿童中耳肺不张的新分类建议。

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OBJECTIVES: Atelectasis presents a challenging, often progressive, problem in children. Because of the lack of a clinically practical classification, we introduce a new classification, which in our opinion is more useful in the pediatric age group. This alternative classification enables a more clinically relevant correlation between stage of disease and clinical sequelae and technical difficulty at surgery. STUDY DESIGN: Observational study of patients seen and operated at the Sophia Children's Hospital in Rotterdam, The Netherlands between 1989 and 2005. METHODS: Based on clinical appearance, each ear was placed into one of the five groups of the proposed classification and into one of the four stages of Sade's classification. Preoperative air and bone conduction thresholds and air-bone gaps (ABG) were calculated using the four-tone pure-tone (500, 1,000, 2,000, and 4,000 Hz) averages for bone and air conduction. RESULTS:: Of the 248 ears in the study group, 72 were in stage I, with an ABG of 18.2 +/- 12.3 dB. Twenty-two were in stage II, with an ABG of 12.9 +/- 9.5 dB. In stage III, there were 32 ears, with an ABG of 11.6 +/- 10.0 dB. Thirty-one ears were in stage IV, with an ABG of 16.1 +/- 11.5 dB. Eighty-five ears were in stage V, with an ABG of 26.1 +/- 13.3 dB. When grouped according to Sade's classification, 92 ears could not be classified. CONCLUSIONS: We found the currently proposed classification more useful in that it follows the natural progression of the disease and is more practical in determining operative procedures at each stage.
机译：目的：肺不张是儿童面临的挑战性问题，通常是进行性问题。由于缺乏临床实用的分类，我们引入了一个新的分类，我们认为该分类在儿科年龄组中更为有用。这种替代分类使疾病的阶段和临床后遗症以及手术技术难度之间在临床上更具相关性。研究设计：1989年至2005年间在荷兰鹿特丹的索菲亚儿童医院就诊并进行手术的患者的观察性研究。方法：根据临床表现，将每只耳朵放入建议分类的五组之一中，并在其中一组中进行分类。 Sade分类的四个阶段。使用四音纯音（500、1,000、2,000和4,000 Hz）的骨骼和空气传导平均值计算术前空气和骨骼传导阈值以及气隙（ABG）。结果：在研究组的248只耳朵中，有72只处于I期，ABG为18.2 +/- 12.3 dB。第二阶段有22个，ABG为12.9 +/- 9.5 dB。在第三阶段，有32个耳，其ABG为11.6 +/- 10.0 dB。 IV级有31只耳朵，ABG为16.1 +/- 11.5 dB。八十五只耳朵处于V期，ABG为26.1 +/- 13.3 dB。根据Sade的分类进行分组时，无法对92只耳朵进行分类。结论：我们发现当前提出的分类更有用，因为它遵循疾病的自然发展，并且在确定每个阶段的手术​​程序方面更为实用。

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