伴脑白质病语前聋患儿人工耳蜗植入术后听觉言语康复效果分析
发布时间：2018-08-27 12:59
【摘要】：目的探讨伴脑白质病的语前极重度感音神经性聋患儿人工耳蜗植入的可行性及术后听觉言语康复效果。方法海南省人民医院耳鼻咽喉科2013年9~11月行人工耳蜗植入的14例伴脑白质病语前聋患儿为研究组(年龄1~6岁,平均3.79±1.93岁),同期无中枢神经系统病变的语前聋患儿16例为对照组(年龄1~6岁,平均4.38±1.93岁),术前均行临床听力学、影像学检查及语言能力、智力水平等评估,经乳突后鼓室面神经隐窝入路一期行人工耳蜗植入术,术后均到海南省聋儿康复中心进行言语康复训练;采用听觉行为分级标准(categories of auditory performance,CAP)和言语可懂度分级标准(speech intelligibility rate,SIR)对两组术后康复效果进行评估,比较两组患儿术后不同阶段的CAP和SIR分级。结果所有患儿人工耳蜗植入术后均获得听觉反应和不同程度的言语交流能力,随着康复时间延长两组患儿CAP及SIR分级均呈上升趋势;研究组术后6、12和24个月CAP平均分级分别为2.571±0.416、3.714±0.496、5.000±0.492级,SIR平均分级分别为1.357±0.133、2.143±0.275、3.071±0.245级,与对照组CAP(分别为2.688±0.313、3.875±0.364、5.000±0.354级)及SIR(分别为1.500±0.129、2.313±0.176、2.875±0.221级)比较,差异均无统计学意义(P0.05)。结论伴脑白质病的语前极重度感音性聋患儿经过术前充分评估后可以实施人工耳蜗植入,术后2年内听觉言语康复效果与不伴脑白质病的同龄患儿相当。
[Abstract]:Objective to investigate the feasibility of cochlear implantation in children with severe preverbal sensorineural hearing loss with leukoencephalopathy. Methods from September to November 2013, 14 children with prelingual hearing loss associated with leukoencephalopathy underwent cochlear implantation in Department of Otorhinolaryngology, Hainan Provincial people's Hospital. The mean age was 3.79 卤1.93 years old, and 16 children without central nervous system disease were treated as control group (mean 4.38 卤1.93 years old). The clinical audiology, imaging examination, language ability and intelligence level were evaluated before operation. One stage cochlear implantation was performed through the posterior tympanic recess approach. After the operation, speech rehabilitation training was performed at the Hainan Rehabilitation Center for Deaf Children. The rehabilitation effects of the two groups were evaluated by auditory behavior scale (categories of auditory performance,CAP) and speech intelligibility scale (speech intelligibility rate,SIR). The CAP and SIR grades of the two groups were compared at different stages after operation. Results after cochlear implantation, all the children received auditory response and different degree of verbal communication ability. The CAP and SIR grades of the two groups showed an increasing trend with the prolongation of rehabilitation time. The average score of CAP in the study group was 1.357 卤0.1332.143 卤0.275 卤3.071 卤0.245 at 12 and 24 months after operation respectively (2.571 卤0.416 卤3.714 卤0.4965.000 卤0.4965.000 卤0.492). There was no significant difference between the two groups in CAP (2.688 卤0.3133.875 卤0.3645.000 卤0.354) and SIR (1.500 卤0.129n2.313 卤0.1762.875 卤0.221) (P0.05). Conclusion cochlear implantation can be performed in children with extremely severe prelingual sensorineural deafness with leukoencephalopathy. The effect of auditory speech rehabilitation within 2 years after operation is comparable to that of children without leukoencephalopathy.
【作者单位】： 海南省人民医院耳鼻咽喉头颈外科医院;
【分类号】：R764.9
本文编号：2207364
[Abstract]:Objective to investigate the feasibility of cochlear implantation in children with severe preverbal sensorineural hearing loss with leukoencephalopathy. Methods from September to November 2013, 14 children with prelingual hearing loss associated with leukoencephalopathy underwent cochlear implantation in Department of Otorhinolaryngology, Hainan Provincial people's Hospital. The mean age was 3.79 卤1.93 years old, and 16 children without central nervous system disease were treated as control group (mean 4.38 卤1.93 years old). The clinical audiology, imaging examination, language ability and intelligence level were evaluated before operation. One stage cochlear implantation was performed through the posterior tympanic recess approach. After the operation, speech rehabilitation training was performed at the Hainan Rehabilitation Center for Deaf Children. The rehabilitation effects of the two groups were evaluated by auditory behavior scale (categories of auditory performance,CAP) and speech intelligibility scale (speech intelligibility rate,SIR). The CAP and SIR grades of the two groups were compared at different stages after operation. Results after cochlear implantation, all the children received auditory response and different degree of verbal communication ability. The CAP and SIR grades of the two groups showed an increasing trend with the prolongation of rehabilitation time. The average score of CAP in the study group was 1.357 卤0.1332.143 卤0.275 卤3.071 卤0.245 at 12 and 24 months after operation respectively (2.571 卤0.416 卤3.714 卤0.4965.000 卤0.4965.000 卤0.492). There was no significant difference between the two groups in CAP (2.688 卤0.3133.875 卤0.3645.000 卤0.354) and SIR (1.500 卤0.129n2.313 卤0.1762.875 卤0.221) (P0.05). Conclusion cochlear implantation can be performed in children with extremely severe prelingual sensorineural deafness with leukoencephalopathy. The effect of auditory speech rehabilitation within 2 years after operation is comparable to that of children without leukoencephalopathy.
【作者单位】： 海南省人民医院耳鼻咽喉头颈外科医院;
【分类号】：R764.9
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1 赖倩;脑白质异常儿童人工耳蜗植入术后听觉言语康复效果初步分析[D];重庆医科大学;2016年
2 黄梅;合并脑白质异常患儿人工耳蜗植入术后听觉及言语能力评估[D];福建医科大学;2014年
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