中华耳科学杂志2024，Vol.22Issue(1)：125-129,5.DOI:10.3969/j.issn.1672-2922.2024.01.027
宽频声导抗应用于内耳疾病诊断研究的系统评价
The Value of Wideband Acoustic Immittance in Identification of Inner Ear Pathology:A Systematic Review
摘要
Abstract
Objective The goal of this review is to assess the diagnostic utility of wideband acoustic immittance(WAI)in identifying inner ear diseases through comprehensive analysis and synthesis of existing literatures.Methods A systematic literature search was conducted across databases including PubMed,Web of Science,and CNKI,for articles in both English and Chinese pertaining to application of WAI in identification of inner ear diseases published up to July 2023.Studies were selected based on predetermined criteria and their quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2(QUADAS-2)tool.Prior to assessing the quality of the articles,audiology experts were consulted to refine the QUADAS-2 parameters.Two independent reviewers,along with a third one for methodolog-ical quality,were involved in the evaluation process.Key data extracted from each study included authorship,publica-tion date,sample size,demographic details,and analysis parameters.Results The review included 17 original studies,7 on Meniere's disease,4 on large vestibular aqueduct syndrome,5 on superior semicircular canal dehiscence,and 1 on en-dolymphatic hydrops.Most studies were published between 2019 and 2023,reflecting on-going progresses in this field.Relatively small sample sizes,non-uniform analysis metrics,and divergent conclusions for similar diseases were some of the issues noticed in the selected studies.QUADAS-2 evaluation revealed potential biases due to inadequate details on case selection,blinding during evaluation,and interpretation of diagnostic test results.Conclusion While WAI,as a rapid,non-invasive audiological assessment tool,has garnered increasing interests,it requires further investigation in the context of inner ear disease diagnosis.Primary limitations of current research include insufficient sample size,low meth-odological quality and lack of consensus.This review suggests the necessity for robust study design to confirm WAI's di-agnostic potentials in inner ear diseases.关键词
宽频声导抗/内耳疾病/QUADAS-2Key words
wideband acoustic immittance/inner ear disease/QUADAS-2引用本文复制引用
岳昱宏,木怡,刘洁,林欢,乔月华,刘稳,蒋雯..宽频声导抗应用于内耳疾病诊断研究的系统评价[J].中华耳科学杂志,2024,22(1):125-129,5.基金项目
江苏省研究生科研与实践创新计划项目(KYCX23_2940) （KYCX23_2940）
