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摘要目的探讨CT在临床疑诊耳硬化症病人评估中的诊断疗效和对治疗的影响。方法回顾性分析接受CT扫描超过5年的临床可疑为耳硬化症的病人,CT诊断与后续手术治疗方式有关。对耳硬化症阳性的病例,判断有明显扩张的耳硬化症与听力测试的关系、诊断与手术结果的关系。结果在CT显示的259例耳硬化症病人中,46%为阳性,49%阴性,5%无法判断。对于33%阴性诊断病人,CT诊断依据充分。每4个CT检查中就有一个实行了针对性外科手术。在41%的CT结果阳性、4%的CT结果阴性的病人中,CT结果
Abstract Objective To investigate the diagnostic efficacy of CT in the evaluation of clinical suspected otosclerosis patients and its influence on the treatment. Methods The clinical suspicion of otosclerosis in patients undergoing CT scan for more than 5 years was retrospectively analyzed. The CT diagnosis was related to the follow-up surgical treatment. For otosclerosis-positive cases, to determine the apparent expansion of otosclerosis and hearing tests, diagnosis and surgical outcomes. Results Of the 259 cases of otosclerosis shown by CT, 46% were positive, 49% were negative and 5% were indistinguishable. For 33% of negative diagnosis of patients, CT diagnosis based on adequate. One out of every four CT exams performed a targeted surgery. In 41% of CT positive results, 4% of CT negative patients, CT results