Eur Arch Otorhinolaryngol:人工耳蜗植入治疗耳硬化症患者的效果如何?

2021-12-13 AlexYang MedSci原创

分析了耳硬化症患者植入人工耳蜗后的手术和听觉结果,并与不同病因的语后听力损失患者的结果进行了比较。

耳硬化是一个与渐进性听力损失有关的耳囊骨质重塑过程。人工耳蜗(CI)是目前耳硬化症晚期患者的一种康复方法,患者往往表现为深度或完全丧失听力。该治疗方法具有极好的语言感知效果,可改善生活质量,且与其他语后聋患者使用人工耳蜗(CI使用者)的效果相似

近期,来自德国的研究人员在《Eur Arch Otorhinolaryngol》上发表文章,分析了耳硬化症患者植入人工耳蜗后的手术和听觉结果,并与不同病因的语后听力损失患者的结果进行了比较

研究人员将17名诊断为耳硬化症受试者(22只耳朵)的医疗记录与21名对照组(25只耳朵)进行比较,两组的年龄、性别、听力损失时间和人工耳蜗植入年限相匹配。分析了人口学特征、手术并发症、面部神经刺激、停用电极的数量和原因以及听觉结果(单音节词得分)。研究人员根据耳硬化病变的解剖定位(等级),进一步评估了听觉结果,并比较了使用和停用电极患者的结果。

结果发现,与对照组相比,耳硬化症患者表现出了类似的手术结果。在耳硬化症患者中观察到了低频率(13.6%)面部神经刺激。与非耳硬化症患者(1.6%)相比,耳硬化症患者停用电极的数量明显较多(P=0.014)。耳硬化症患者对单音节词的语音辨别率(65%)低于非耳硬化症患者(80%)(P=0.109),术后听觉评估结果在疾病等级和电极停用方面没有差异。

耳硬化症患者耳蜗植入的听觉结果

综上所述,耳硬化症患者的人工耳蜗植入可提供良好的听觉效果,且手术并发症发生率低。为了克服不完全插入、面部神经刺激和音质差等并发症,也需要经常改变拟合策略。

原始出处:

Srebrena Atanasova-Koch , Peter Rolf Issing. Cochlear implantation outcomes in patients with otosclerosis: a single-centre study. Eur Arch Otorhinolaryngol. Nov 2021

 

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    2022-10-25 jambiya
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    2021-12-14 ms1000000203803067

    学到了

    0

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    2021-12-02 jiyangfei
  8. [GetPortalCommentsPageByObjectIdResponse(id=2076768, encodeId=73aa20e6768ba, content=<a href='/topic/show?id=9f6e62685fe' target=_blank style='color:#2F92EE;'>#植入治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62685, encryptionId=9f6e62685fe, topicName=植入治疗)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83erCiat0j36p5MejdM9yCLtcVcY8WS5VIKuCMqXFNs56U6iacZib5CJvh6mVxGERicM6ZAkl91jMgpcDrw/132, createdBy=37622500012, createdName=ms2999106592497887, createdTime=Mon Mar 14 09:13:10 CST 2022, time=2022-03-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1983211, encodeId=78f9198321173, content=<a href='/topic/show?id=a7a7e359478' target=_blank style='color:#2F92EE;'>#硬化症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73594, encryptionId=a7a7e359478, topicName=硬化症)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a691420, createdName=30397604, createdTime=Tue Aug 23 05:13:10 CST 2022, time=2022-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1701468, encodeId=05f71e01468a2, content=<a href='/topic/show?id=89fc8049e53' target=_blank style='color:#2F92EE;'>#耳硬化#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80497, encryptionId=89fc8049e53, topicName=耳硬化)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=515d30375051, createdName=jambiya, createdTime=Tue Oct 25 14:13:10 CST 2022, time=2022-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1668033, encodeId=8393166803368, content=<a href='/topic/show?id=1cf280498d2' target=_blank style='color:#2F92EE;'>#耳硬化症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80498, encryptionId=1cf280498d2, topicName=耳硬化症)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9f4726226525, createdName=jiyangfei, createdTime=Sat Feb 26 21:13:10 CST 2022, time=2022-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1079894, encodeId=f49a10e989480, content=学到了, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bfce6397944, createdName=ms1000000203803067, createdTime=Tue Dec 14 11:11:06 CST 2021, time=2021-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1319521, encodeId=d2771319521ec, content=<a href='/topic/show?id=d867248490c' target=_blank style='color:#2F92EE;'>#人工耳蜗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24849, encryptionId=d867248490c, topicName=人工耳蜗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=71f1477, createdName=s_pl2008, createdTime=Thu Dec 02 07:13:10 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1520780, encodeId=e0881520e8040, content=<a href='/topic/show?id=7a736264553' target=_blank style='color:#2F92EE;'>#植入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62645, encryptionId=7a736264553, topicName=植入)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=832411313664, createdName=jiyangfei, createdTime=Thu Dec 02 07:13:10 CST 2021, time=2021-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1533335, encodeId=9307153333526, content=<a href='/topic/show?id=489b8051402' target=_blank style='color:#2F92EE;'>#耳蜗植入#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=80514, encryptionId=489b8051402, topicName=耳蜗植入)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=948e12427215, createdName=119337461, createdTime=Thu Dec 02 07:13:10 CST 2021, time=2021-12-02, status=1, ipAttribution=)]

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