内耳结构异常患者人工耳蜗植入术的疗效观察

发布时间：2019-02-20 08:19

【摘要】：目的分析研究内耳结构异常患者人工耳蜗植入术的安全性及手术后的疗效情况。方法选取2011.07-2015.06在我院住院接受人工耳蜗植入的17例内耳结构异常患者的临床资料,其中语前聋14例,语后聋3例,针对内耳结构异常情况采用不同术式。用听觉分级行为标准(Categorise of Auditory Performance,CAP)、言语可懂度分级标准(Speech Intelligibility Rating,SIR)进行术后效果评估。选取24例同期接受人工耳蜗植入的内耳正常的语前聋患者作为对照组,分析并比较两组患者手术并发症及术后疗效。结果:17例患者手术顺利,术后出现1例眩晕,所有患者术后均无脑脊液耳漏、面瘫等并发症。内耳结构异常语前聋患者术后CAP和SIR值分别为5.8±1.4、3.5±1.1;对照组CAP和SIR值分别为6.9±1.3、3.8±0.9,两者差异无统计学意义(P0.05)。结论内耳结构异常非人工耳蜗植入术的绝对禁忌证,根据异常程度制定个性化的手术方案,可以减少并发症的发生。内耳结构异常语前聋患者术后言语康复情况、对声音的自发性觉察能力与耳蜗形态正常患者术后无明显差异。
[Abstract]:Objective to study the safety and efficacy of cochlear implantation in patients with abnormal inner ear structure. Methods the clinical data of 17 patients with abnormal inner ear structure who received cochlear implant in our hospital from June 7 to June 2011.07-2015.There were 14 cases of prelingual deafness and 3 cases of postverbal deafness. The postoperative effect was evaluated by auditory grading behavior Standard (Categorise of Auditory Performance,CAP) and speech intelligibility rating Standard (Speech Intelligibility Rating,SIR). Twenty-four patients with normal preverbal deafness received cochlear implants were selected as control group. The operative complications and postoperative outcomes were analyzed and compared between the two groups. Results: the operation was successful in 17 patients and 1 patient had vertigo after operation. No cerebrospinal fluid ear leakage and facial paralysis were found in all the patients. The values of CAP and SIR were 5.8 卤1.4 卤3.5 卤1.1 in the patients with preverbal deafness and 6.9 卤1.3 卤3.8 卤0.9 in the control group, respectively. There was no significant difference between the two groups (P0.05). Conclusion Non-cochlear implants with abnormal inner ear structure can reduce the incidence of complications by making individualized operative plan according to the degree of abnormal cochlea implantation. There was no significant difference in speech rehabilitation between the patients with abnormal inner ear structure and normal cochlea after operation.
【作者单位】：广西壮族自治区人民医院耳鼻咽喉科;广西中医药大学研究生学院;
【基金】：国家自然科学基金资助项目(No:81460097) 广西医疗卫生适宜技术研究与开发课题(No:S201421_05) 广西壮族自治区卫生厅自筹经费科研课题(No:Z2014215,Z2015351,Z2016593及Z2016608)~~
【分类号】：R764.92

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