中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2012年
25期
1756-1758
,共3页
耳蜗植入术%耳鸣%聋
耳蝸植入術%耳鳴%聾
이와식입술%이명%롱
Cochlear implantation%Tinnitus%Deafness
目的 观察人工耳蜗植入者手术前后同侧耳鸣变化情况,评估人工耳蜗植入对耳鸣的影响.方法 对48例在国内5个三甲医院行REZ-1人工耳蜗植入者进行手术前后耳鸣程度评估,根据疗效评定标准评价人工耳蜗植入对耳鸣的干预作用,并对可能影响干预作用的相关因素进行统计分析.结果 48例人工耳蜗植入者中,术前耳鸣16例(33.3％),术后痊愈6例(37.5％),有效1例(6.3％),无效9例(56.3％),总有效率43.8％；术前无耳鸣32例,术后2例出现耳鸣.统计分析发现人工耳蜗植入对耳鸣的干预作用与耳鸣病程呈负相关.结论 人工耳蜗植入对同侧耳鸣有一定治疗效果,耳鸣病程较短者效果较好,但单纯为治疗耳鸣植入人工耳蜗仍缺乏足够证据.
目的 觀察人工耳蝸植入者手術前後同側耳鳴變化情況,評估人工耳蝸植入對耳鳴的影響.方法 對48例在國內5箇三甲醫院行REZ-1人工耳蝸植入者進行手術前後耳鳴程度評估,根據療效評定標準評價人工耳蝸植入對耳鳴的榦預作用,併對可能影響榦預作用的相關因素進行統計分析.結果 48例人工耳蝸植入者中,術前耳鳴16例(33.3％),術後痊愈6例(37.5％),有效1例(6.3％),無效9例(56.3％),總有效率43.8％；術前無耳鳴32例,術後2例齣現耳鳴.統計分析髮現人工耳蝸植入對耳鳴的榦預作用與耳鳴病程呈負相關.結論 人工耳蝸植入對同側耳鳴有一定治療效果,耳鳴病程較短者效果較好,但單純為治療耳鳴植入人工耳蝸仍缺乏足夠證據.
목적 관찰인공이와식입자수술전후동측이명변화정황,평고인공이와식입대이명적영향.방법 대48례재국내5개삼갑의원행REZ-1인공이와식입자진행수술전후이명정도평고,근거료효평정표준평개인공이와식입대이명적간예작용,병대가능영향간예작용적상관인소진행통계분석.결과 48례인공이와식입자중,술전이명16례(33.3％),술후전유6례(37.5％),유효1례(6.3％),무효9례(56.3％),총유효솔43.8％；술전무이명32례,술후2례출현이명.통계분석발현인공이와식입대이명적간예작용여이명병정정부상관.결론 인공이와식입대동측이명유일정치료효과,이명병정교단자효과교호,단단순위치료이명식입인공이와잉결핍족구증거.
Objective Cochlear implantation is the current standard of care in patients with significant sensorineural hearing loss.The purpose of this study was to assess the effects of cochlear implantation on ipsilateral tinnitus.Methods With standard assessment table and standard testing program,48 postlingual hearing-impaired adults aged 18 -62 years(mean age at implantation:35.0)were operated at 5 clinical centers from June 2009 to March 2010.There were 23 males(47.9％)and 25 females (52.1％).We evaluated the pre- and post-implantation degrees of tinnitus,performed free sound field audiometry and scored speech perceptiou during different periods.Secondary analyses were conducted to examine the correlation between the effects of implantation on tinnitus and hearing or speech perception rehabilitation.Results Before implantation,there were 16 cases with ipsilateral tinnitus and 32 cases without tinnitus.After implantation,among 16 cases,the outcomes were recovery(n =6),tinnitus suppression(n =1)and no change in symptoms(n =9).The total effective rate was 43.8％.Among another 32 cases without preoperative tinnitus,2 cases developed tinnitus after implantation.The effects of cochlear implantation on tinnitus were negatively correlated with the course of tinnitus.There was no more correlation with other factors.Conclusion Cochlear implants have significant therapeutic effects on tinnitus in 43.8％ of implant users.Better efficacies are correlated with a shorter course of tinnitus.However,tinnitus suppression using electrical stimulation via cochlear implantation for deafness needs to be further evaluated.
