脑白质异常聋儿人工耳蜗植入后效果初步分析

发布时间：2017-12-28 18:07

本文关键词：脑白质异常聋儿人工耳蜗植入后效果初步分析　出处：《中华耳科学杂志》2016年02期 　论文类型：期刊论文

【摘要】：目的探讨对脑白质异常的重度感音神经性聋患儿,人工耳蜗植入手术的可行性及听力言语康复效果分析。方法自2012年1月至2014年12月行人工耳蜗植入术的120例(120耳)重度感音神经性聋患儿中,有脑白质异常的患儿15例。随机抽取15例脑白质无异常的聋儿作为对照组,比较两组患儿植入人工耳蜗后手术效果、开机调试结果及听力言语康复效果。结果 130例(30耳)电极全部植入耳蜗内;2所有患者术后无脑膜炎、面瘫、脑脊液漏等并发症;3所有脑白质异常患儿在人工耳蜗植入术后都有听觉;4脑白质异常儿童术后平均听阈与对照组无明显区别;5随访6至24月后,脑白质异常患儿的听觉行为分级标准(categories of auditory performance,CAP)和言语可懂度分级标准(speech intelligibility rating,SIR)与对照组比较,差异均无显著性意义(P0.05)。结论经过严格术前评估后,人工耳蜗植入可应用于脑白质异常伴重度感音神经性聋的患儿,其术后效果与脑白质无异常的聋儿植入效果基本一致,术后的听力言语康复效果无明显差异。
[Abstract]:Objective to explore the feasibility of cochlear implantation and the effect of hearing and speech rehabilitation on children with severe sensorineural hearing loss with abnormal white matter. Methods from January 2012 to December 2014, 120 children with cochlear implantation (120 ears) with severe sensorineural hearing loss were found in 15 children with abnormal white matter. A random sample of 15 cases of cerebral white matter abnormalities in deaf children as the control group, the effect of speech rehabilitation of children in two groups were compared after cochlear implantation surgery, debugging results and listening. Results 130 cases (30 ears) of all electrodes implanted in 2; all patients without meningitis, facial paralysis, cerebrospinal fluid leakage and other complications; 3 of all brain white matter abnormalities in all children with hearing after cochlear implantation; 4 cerebral white matter abnormalities in the average hearing threshold of postoperative children with the control group showed no significant difference between the 5 follow-up; 6 to 24 months after hearing behavior classification standard brain with abnormal white matter (categories of auditory performance, CAP) and speech intelligibility rating standard (speech intelligibility rating, SIR) compared with the control group, there was no significant difference (P0.05). Conclusion after strict preoperative evaluation after cochlear implantation can be applied to cerebral white matter abnormalities in patients with severe sensorineural hearing loss in children, the postoperative effect and brain white matter abnormalities without deaf children implantation are basically the same, no significant difference between the hearing and speech rehabilitation effect after the operation.
【作者单位】：重庆医科大学附属第一医院耳鼻咽喉科;
【基金】：国家临床重点专科建设项目经费资助卫办医政函[2012]649号~~
【分类号】：R764.43
【正文快照】： 儿童感音神经性耳聋发病率逐年上升,学龄前儿童发病率约9/1000[1-2]。随着当前社会对听障儿童康复的关注与聚焦,越来越多的重度或极重度听障儿童接受了人工耳蜗的植入,术后建立听觉,进行了听力及言语的康复。脑白质异常的重度感音神经性聋患儿,在排除癫痫频繁发作不能控制;严

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