人工耳蜗再植入手术总结及术后效果

发布时间：2019-05-16 18:02

【摘要】：目的:评估人工耳蜗再次植入术的临床特点,总结人工耳蜗再次植入手术的临床经验。方法:回顾性研究分析2002-2012年间进行的25例人工耳蜗再次植入术患者的资料。主要分析再次植入手术的原因、术中的发现、术中电极植入的数量及再次植入术前后的听力及言语的表现。结果:本次再次植入术的原因中,8例植入体物理故障,8例为电极位置不佳,4例首次植入术后效果不佳,3例皮瓣感染导致植入体暴露,1例颞骨病变,1例术后面神经刺激征。25例患者均在我科成功进行人工耳蜗再植入术,术后患者原并发症均治愈,听觉行为分级标准和言语可懂度分级标准及图文识别软件测试言语识别率显著提高,无严重并发症发生。结论:人工耳蜗再植入者原因具有多样性,需根据不同的原因进行个性化的分析和处理。人工耳蜗再次植入术可以取得较好的临床及听力效果,而且是一种安全和有效的手术方式。
[Abstract]:Objective: to evaluate the clinical characteristics of cochlear reimplantation and summarize the clinical experience of cochlear reimplantation. Methods: the data of 25 patients undergoing cochlear reimplantation from 2002 to 2012 were studied and analyzed retrospectively. the data of 25 patients undergoing cochlear reimplantation from 2002 to 2012 were analyzed retrospectively. This paper mainly analyzes the causes of reimplantation, the findings during the operation, the number of electrodes implanted during the operation and the hearing and speech manifestations before and after the reimplantation. Results: there were 8 cases of physical failure of implantation, 8 cases of poor electrode position, 4 cases of poor effect after the first implantation, 3 cases of skin flap infection leading to implantation exposure and 1 case of temporal bone lesion. 1 case of nerve stimulation sign after operation. All 25 patients underwent cochlear implantation successfully in our department, and the original complications were cured after operation. The speech recognition rate of auditory behavior classification standard, speech intellibility classification standard and graphic and text recognition software test was significantly improved, and no serious complications occurred. Conclusion: the causes of cochlear reimplantation are diverse and need to be analyzed and treated according to different reasons. Cochlear implantation can achieve good clinical and hearing results, and it is a safe and effective method.
【作者单位】：北京协和医院耳鼻咽喉科;
【分类号】：R764.9

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