老年听神经瘤患者听力损失的临床特征

发布时间：2019-06-07 16:06

【摘要】：目的探讨老年听神经瘤患者听力损失的临床症状。方法 82例老年听神经瘤患者按照肿瘤大小分为A、B两组。A组肿瘤直径2.1~5.4 cm,40例,B组肿瘤直径0.5~2.0 cm,42例。分析两组的临床资料且进行听力学检查、听性脑干反应检查、声反射检查以及影像学检查,比较两组听神经瘤临床特征、听力损失程度以及影像学资料的差异性。结果 A组发生听力丧失、耳鸣、患耳疼痛、三叉神经功能障碍、面部麻木与疼痛、眩晕与头痛均显著多于B组(P0.05);两组听力损失状况比较差异有统计学意义(P0.05);A组发生ABR异常、声反射阈消失或升高以及影像学特征的例数均显著高于B组(P0.05)。结论肿瘤直径较大的老年听神经瘤患者的临床症状表现多样,侵犯的区域越广,听力损失状况越严重,且听性脑干反应检查、声反射检查以及影像学检查等检测率越高。
[Abstract]:Objective to investigate the clinical symptoms of hearing loss in elderly patients with acoustic neuroma. Methods Eighty-two elderly patients with acoustic neuroma were divided into two groups according to tumor size: group A (2.1 cm,40) and group B (0.5 cm,42). The clinical data of the two groups were analyzed and audiological examination, auditory brainstem response examination, acoustic reflex examination and imaging examination were carried out. The clinical features, hearing loss degree and imaging data of acoustic neuroma between the two groups were compared. Results hearing loss, tinnitus, ear pain, trigeminal nerve dysfunction, facial numbness and pain, vertigo and headache in group A were significantly higher than those in group B (P 0.05). There was significant difference in hearing loss between the two groups (P 0.05). The incidence of ABR abnormality, the disappearance or increase of acoustic reflex threshold and the number of imaging features in); A group were significantly higher than those in group B (P 0.05). Conclusion the clinical symptoms of elderly patients with large tumor diameter are diverse. The wider the invading area, the more serious the hearing loss, and the higher the detection rate of auditory brainstem response, acoustic reflex and imaging.
【作者单位】：河北医科大学第三医院干部西区;河北医科大学第三医院骨科;河北医科大学第三医院内分泌科;
【基金】：河北省卫生厅科研基金项目(No.20120105)
【分类号】：R739.4

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