人工耳蜗植入手术远期并发症的临床处理

发布时间：2018-03-15 04:13

本文选题：人工耳蜗植入　切入点：远期并发症　出处：《中华耳科学杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的总结和分析人工耳蜗植入患者术后的远期并发症,探讨并发症的发生原因、临床处理方法和预后。方法对2002年3月~2016年11月在北京大学第三医院由作者潘滔完成人工耳蜗植入手术且随访资料完整的280例患者进行回顾性研究。结果在所有研究对象中,出现各类远期并发症(发生于术后3个月之后的并发症)共6例,总发生率为2.1%,并发症出现时间最早为术后4个月,最晚为术后5年。其中术后远期中耳炎合并植入体周围感染3例,发生率1.1%,经过抗生素及对症治疗后痊愈。植入体装置故障2例,发生率0.7%,行植入体取出及同侧再植入。皮瓣感染及坏死1例,发生率0.4%,先后4次行耳后清创、皮瓣转移术,仍不能控制感染,遂行植入体取出、乳突清创、皮瓣转移成形术并同期行对侧人工耳蜗植入,最终痊愈。以上出现远期并发症的患者经过上述治疗干预后均预后良好。结论即使人工耳蜗植入患者术后恢复良好,远期的并发症仍值得关注,及时的发现和处理可挽救或避免进一步的危害后果。
[Abstract]:Objective to summarize and analyze the long-term complications of cochlear implants and explore the causes of complications. Methods from March 2002 to November 2016, a retrospective study was conducted in 280 patients who underwent cochlear implants at Peking University third Hospital and were followed up with complete data. There were 6 cases of long-term complications (the complications occurred 3 months after operation), the total incidence rate was 2.1%, the earliest time of occurrence of complications was 4 months after operation. The latest was 5 years after operation. Among them, there were 3 cases of post-operative otitis media complicated with peri-implant infection, the incidence rate was 1.1%, and recovered after antibiotic and symptomatic treatment. The incidence of infection was 0.70.There was one case of infection and necrosis of the flap, 4 times of debridement after ear and transfer of the flap, the infection could not be controlled, the implant was removed and the mastoid debridement was carried out. Flap transfer and cochlear implantation were performed at the same time, and finally recovered. The patients with long-term complications had a good prognosis after the treatment. Conclusion even the cochlear implant patients recover well after operation. Long-term complications are still worthy of attention, timely detection and management can save or avoid further harmful consequences.
【作者单位】：北京大学第三医院耳鼻咽喉头颈外科;
【分类号】：R764.9

【相似文献】