听力学检测和内耳磁共振成像在梅尼埃病诊断中的作用

发布时间：2018-03-27 11:10

本文选题：梅尼埃病　切入点：纯音测听　出处：《中华耳科学杂志》2017年03期

【摘要】：目的探讨多种临床检测方法在梅尼埃病诊断中的应用价值方法回顾性分析2012年1月至2015年12月确诊为梅尼埃病的77例患者的病历资料,分析梅尼埃病患者的听力学检查以及磁共振水成像检查结果。结果共69例纯音测听结果异常(异常率92.3%);接受前庭诱发肌源性电位检测者65例,异常37例,异常率56.9%;接受耳蜗电图检测者22例,结果异常者15例(异常率68.2%);接受冷热气试验者71例,两侧对称比异常者47例,双侧低下者2例,异常率69.0%;接受甘油试验者12例,试验阳性者3例,异常率25.0%;接受磁共振造影者76例,迷路积水者70例,异常率92.1%。结论纯音测听和磁共振造影在梅尼埃病患者中阳性率高,冷热气试验及耳蜗电图假阳性率次之,可作为梅尼埃病观察的参考指标。
[Abstract]:Objective to evaluate the value of multiple clinical methods in the diagnosis of Meniere's disease. Methods the medical records of 77 patients with Meniere's disease from January 2012 to December 2015 were analyzed retrospectively. The results of audiological examination and magnetic resonance hydrography in patients with Meniere's disease were analyzed. Results 69 cases of pure tone audiometry were abnormal (abnormal rate 92.3%), 65 cases received vestibular evoked myogenic potential test, 37 cases were abnormal. The abnormal rate was 56.9%; 22 cases were examined by electrocochocardiography, 15 cases were abnormal (abnormal rate 68.2%), 71 cases received cold and hot air test, 47 cases received bilateral symmetry ratio abnormality, 2 cases received bilateral hypothermia, 12 cases received glycerol test, 12 cases received glycerol test, The abnormal rate was 25.0%, 76 cases received magnetic resonance imaging, 70 cases had hydrolabyrinth, and the abnormal rate was 92.1.Conclusion the positive rate of pure tone audiometry and magnetic resonance imaging in patients with Meniere's disease is higher than that in cold hot air test and cochlear electrogram. It can be used as a reference index for observation of Meniere's disease.
【作者单位】：福建医科大学附属第一医院耳鼻咽喉头颈外科;
【分类号】：R764.33

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