反斯氏位和斯氏位在先天性耳聋儿童电子耳蜗植入术投照中的应用对比

发布时间：2019-05-09 23:38

【摘要】：目的:探讨反斯氏位或斯氏位在先天性耳聋儿童电子耳蜗植入术投照中的应用效果。方法:将80例先天性耳聋需行电子耳蜗植入术儿童随机分为反斯氏位组和斯氏位组各40例,两组手术前、后均行CT检测;反斯氏位组手术前、后均采用反斯氏位X线检查,斯氏位组手术前、后均采用斯氏位X线检查。结果:反斯氏位组手术前X线耳蜗未发育、急性化脓性中耳乳突炎、大前庭导水管综合征、耳蜗发育不良以及脑白质病变等禁忌证影像学检查结果与CT检查结果的kappa值分别为1、1、1、1和0.974,高于斯氏位组的0.66、0.66、0.66、0.974和0.66,差异有统计学意义(P0.05)。反斯氏位组术后影像学检查对电子耳蜗电极扭曲、术后移位、电子耳蜗形态和位置良好显示结果与CT检查结果的kappa值分别为1、1和1,高于斯氏位组的0.768、0和0.585,差异有统计学意义(P0.05)。反斯氏位组患者对X线体位摆放的依从性、听从指令的依从性以及总体依从性分别为90.0%、95.0%和95.0%,高于斯氏位组的70.0%、77.5%和80.0%(P0.05)。结论:反斯氏位在先天性耳聋儿童电子耳蜗植入术投照中的应用效果良好,可较为准确地反映患儿内耳道影像学病变和术后电极形态和位置,且患儿对检测的依从性高、配合良好,值得临床推广使用。
[Abstract]:Objective: to investigate the application of anti-Steinz position or Steinstein position in cochlear implantation in children with congenital deafness. Methods: 80 children with congenital deafness who needed cochlear implantation were randomly divided into anti-Steinell position group (n = 40) and Schrschner position group (n = 40). CT was detected in both groups before and after operation. Before and after operation, X-ray examination was used before and after operation, and X-ray examination before and after operation was used in the group of Schrystalski position before and after the operation, and the X-ray examination of the position was performed before and after the operation in the group of inverse position. Results: in the inverse position group, the X-ray cochlea was not developed before operation, acute suppurative otitis media mastoiditis, large vestibular aqueduct syndrome, The kappa values of the contraindications such as cochlear dystrophy and white matter lesions were 1, 1, 1, 1 and 0.974, respectively, which were higher than those in the skite position group (0.66, 0.66, 0.974 and 0.66, respectively), and the kappa values were 1, 1, 1 and 0.974, respectively, which were higher than those in the skite position group (0.66, 0.66, 0.974 and 0.66). The difference was statistically significant (P 0.05). The kappa values of cochlear electrode distortion, postoperative displacement, good cochlear morphology and position and CT were 1, 1 and 1, respectively, which were higher than those of 0.768, 0 and 0.585, respectively. The difference was statistically significant (P 0.05). The compliance, compliance and overall compliance of patients with X-ray posture were 90.0%, 95.0% and 95.0%, respectively, which were higher than 70.0% of that of Skhlet position group, which was higher than that of Skhlet position group (70.0%), which was 90.0%, 95.0% and 95.0%, respectively. 77.5% and 80.0% (P 0.05). Conclusion: the application of anti-Si position in cochlear implantation in children with congenital deafness is effective, which can accurately reflect the imaging lesions of internal auditory canal and the shape and position of electrodes after operation, and the compliance of children to detection is high. It is worth popularizing and using in clinic because of its good cooperation.
【作者单位】：广东省人民医院放射科;
【分类号】：R764.9

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