中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2008年
2期
100-104
,共5页
李永新%梁爽%郭连生%孔颖%刘海红%赵啸天%郑军%陈雪清%刘博%黄丽辉%莫玲燕%张华%韩德民
李永新%樑爽%郭連生%孔穎%劉海紅%趙嘯天%鄭軍%陳雪清%劉博%黃麗輝%莫玲燕%張華%韓德民
리영신%량상%곽련생%공영%류해홍%조소천%정군%진설청%류박%황려휘%막령연%장화%한덕민
耳蜗植入术%听觉丧失感音神经性%耳蜗后疾病%治疗结果
耳蝸植入術%聽覺喪失感音神經性%耳蝸後疾病%治療結果
이와식입술%은각상실감음신경성%이와후질병%치료결과
Cochlear implantation%Hearing loss,sensorinerral%Retrocochlear disearses%Treatment outcome
目的 探讨听神经病患者人工耳蜗植入后的电生理结果 变化并分析其听力言语康复效果.方法 对行人工耳蜗植入术的2例听神经病患儿进行术前听力学评估,术中、术后听觉诱发电位反应监测及开机后1年的随访,获得其开机后6个月与12个月时的听力言语康复效果,并与人工耳蜗使用时间相近的非听神经病耳蜗植入患儿的康复效果进行对比.结果 例1术中神经反应遥测henral response telemetry,NRT)及电刺激听性脑干诱发反应(electric auditory brainstem response,EABR)可引出波形,但重复性不好,EABR V波潜伏期延长.开机12个月时复查,2项电生理检查均引出可重复波形,EABR V波潜伏期在正常范围;听力言语康复效果显著提高,开机1年后有意义听觉整合量表得分优于对照组儿童;例2术中NRT未引出有意义波形,EABR可引出波形,但重复性不好;开机12个月复查,2项电生理检查均引出可重复波形,EABR V波潜伏期在正常范围;术后听力言语康复效果亦有所提高.结论 2例听神经病患者人工耳蜗植入后,术前听觉通路电活动的去同步化均得到一定程度的恢复,听力言语能力也有不同程度提高,说明人工耳蜗植入可以作为听神经病患者实现听力重建,重返主流社会的治疗和康复手段.
目的 探討聽神經病患者人工耳蝸植入後的電生理結果 變化併分析其聽力言語康複效果.方法 對行人工耳蝸植入術的2例聽神經病患兒進行術前聽力學評估,術中、術後聽覺誘髮電位反應鑑測及開機後1年的隨訪,穫得其開機後6箇月與12箇月時的聽力言語康複效果,併與人工耳蝸使用時間相近的非聽神經病耳蝸植入患兒的康複效果進行對比.結果 例1術中神經反應遙測henral response telemetry,NRT)及電刺激聽性腦榦誘髮反應(electric auditory brainstem response,EABR)可引齣波形,但重複性不好,EABR V波潛伏期延長.開機12箇月時複查,2項電生理檢查均引齣可重複波形,EABR V波潛伏期在正常範圍;聽力言語康複效果顯著提高,開機1年後有意義聽覺整閤量錶得分優于對照組兒童;例2術中NRT未引齣有意義波形,EABR可引齣波形,但重複性不好;開機12箇月複查,2項電生理檢查均引齣可重複波形,EABR V波潛伏期在正常範圍;術後聽力言語康複效果亦有所提高.結論 2例聽神經病患者人工耳蝸植入後,術前聽覺通路電活動的去同步化均得到一定程度的恢複,聽力言語能力也有不同程度提高,說明人工耳蝸植入可以作為聽神經病患者實現聽力重建,重返主流社會的治療和康複手段.
목적 탐토은신경병환자인공이와식입후적전생리결과 변화병분석기은력언어강복효과.방법 대행인공이와식입술적2례은신경병환인진행술전은역학평고,술중、술후은각유발전위반응감측급개궤후1년적수방,획득기개궤후6개월여12개월시적은력언어강복효과,병여인공이와사용시간상근적비은신경병이와식입환인적강복효과진행대비.결과 례1술중신경반응요측henral response telemetry,NRT)급전자격은성뇌간유발반응(electric auditory brainstem response,EABR)가인출파형,단중복성불호,EABR V파잠복기연장.개궤12개월시복사,2항전생리검사균인출가중복파형,EABR V파잠복기재정상범위;은력언어강복효과현저제고,개궤1년후유의의은각정합량표득분우우대조조인동;례2술중NRT미인출유의의파형,EABR가인출파형,단중복성불호;개궤12개월복사,2항전생리검사균인출가중복파형,EABR V파잠복기재정상범위;술후은력언어강복효과역유소제고.결론 2례은신경병환자인공이와식입후,술전은각통로전활동적거동보화균득도일정정도적회복,은력언어능력야유불동정도제고,설명인공이와식입가이작위은신경병환자실현은력중건,중반주류사회적치료화강복수단.
Objective To explore the electrophysiological results and rehabilitation outcome of two prelingually deafened pediatric cochlear implant patients with auditory neuropathy.Methods Preoperative audiological evaluation,intra-postoperative electrically evoked auditory brainstem response(EABR)and neural response telememetry(NRT)record for the two cases were conducted in Beijing Tongren Hospital.A one year follow-up was performed.Data collected before and at 6,12-month intervals after implantation were compared with that from control pediatric cochlear implant patients matched for the same duration of implant use as this two cases. Results The two children implanted had not had any postoperative medical or cochlear implant device complications. Intraoperative EABR and NRT were elicited in case 1 with unrepeatable waveforms. After 12 months of training,Case 1 had shown significant improvements in sound detection,speecn perception abilities and communication skills,which was better than the control group.and the eJectrophysiological results became normal.Case 2 had also benefited from cochlear implantation, even though no recognizable NRT was found until he returned 12 month after the operation.Conclusions The desynchronization of auditory path had been changed after the electrical stimulation ongoing 12 months for children with auditory neuropathy.The two children had not had any complications postoperatively,and eacn child had shown improved listening and communication skills. Cochlear implantation COUld help patients witn auditory neuropathy to improve their communication skill and go back to the main stream.
