CAJ | 학술논문

目的：通过对脑白质病语前聋儿童人工耳蜗植入术疗效的观察，探讨人工耳蜗植入术在脑白质病语前聋儿童中的临床应用。方法经术前常规听力学、影像学、智力、心理等评估，筛选30例脑白质病语前聋儿童（脑白质病组）实施人工耳蜗植入术，并与同期30例接受人工耳蜗植入未伴脑白质病等中枢神经系统疾病的语前聋儿童（对照组）进行术后听觉语言康复情况疗效比较。结果（1）术后半年行声场测试，脑白质病组声场听阈为39.67±5.28dBHL，对照组为37.67±3.84dBHL，差异无统计学意义（P＞0.05）；（2）术后1年行听觉语言能力评估，听觉能力评估显示脑白质病组言语识别率为83.48±7.63%，对照组为85.03±9.43%；语言能力评估显示脑白质病组语言年龄为2.63±0.69岁，对照组语言年龄为2.71±0.74岁，两组患儿听觉能力及语言能力均无统计学差异（P＞0.05）。结论脑白质病语前聋儿童在经过术前充分评估及观察筛选后实施人工耳蜗植入术与单纯语前聋儿童疗效相当，说明脑白质病聋儿实施人工耳蜗植入术是可行的。
목적：통과대뇌백질병어전롱인동인공이와식입술료효적관찰，탐토인공이와식입술재뇌백질병어전롱인동중적림상응용。방법경술전상규은역학、영상학、지력、심리등평고，사선30례뇌백질병어전롱인동（뇌백질병조）실시인공이와식입술，병여동기30례접수인공이와식입미반뇌백질병등중추신경계통질병적어전롱인동（대조조）진행술후은각어언강복정황료효비교。결과（1）술후반년행성장측시，뇌백질병조성장은역위39.67±5.28dBHL，대조조위37.67±3.84dBHL，차이무통계학의의（P＞0.05）；（2）술후1년행은각어언능력평고，은각능력평고현시뇌백질병조언어식별솔위83.48±7.63%，대조조위85.03±9.43%；어언능력평고현시뇌백질병조어언년령위2.63±0.69세，대조조어언년령위2.71±0.74세，량조환인은각능력급어언능력균무통계학차이（P＞0.05）。결론뇌백질병어전롱인동재경과술전충분평고급관찰사선후실시인공이와식입술여단순어전롱인동료효상당，설명뇌백질병롱인실시인공이와식입술시가행적。
Objective To observe the effects of cochear implantion for prelingually deafened children with leukoence-phalopathy. Methods 30 prelingually deafend children with leukoencephalopathy were screened in this study as leukoencephalopathy group by preoperative audiology, imaging data, intelligence and psychology assessment , and another 30 prelingually deafend children without central nervous diseases and accepted cochlear implantation at the same period were chosen as control group. The postoperative outcomes of the two groups were compared. Results (1)Half a year after cochlear implication, the field hearing threshold of leukoencephalopathy group was 39.67±5.28dBHL, the control group was 37.67±3.84dBHL, there was no significant difference in the two groups(P>0.05);(2)All children were assessed at one year after surgery for their hearing and speaking ability rehabilitation.In aspect of hearing ability, the score of leukoencephalopathy group was 83.48±7.63%, the control was 85.03±9.43%;In aspect of speaking ability, the corresponding language ages of leukoencephalopathy group was 2.63±0.69 years old,the control was 2.71±0.74 years old, there were no significant difference between the two group in hearing and speaking ability(P>0.05). Conclusion cochear implantion for prelingually deafened children with leukoencephalopathy had equivalent efficacy with simple prelingually deafened children after comprehensive preoperative assessment and obser-vation.