本文關(guān)鍵詞：腦白質(zhì)異常聾兒人工耳蝸植入后效果初步分析　出處：《中華耳科學(xué)雜志》2016年02期 　論文類型：期刊論文

  更多相關(guān)文章： 感音神經(jīng)性聾 人工耳蝸 腦白質(zhì)異常 聽(tīng)覺(jué)和言語(yǔ)康復(fù)

【摘要】：目的探討對(duì)腦白質(zhì)異常的重度感音神經(jīng)性聾患兒,人工耳蝸植入手術(shù)的可行性及聽(tīng)力言語(yǔ)康復(fù)效果分析。方法自2012年1月至2014年12月行人工耳蝸植入術(shù)的120例(120耳)重度感音神經(jīng)性聾患兒中,有腦白質(zhì)異常的患兒15例。隨機(jī)抽取15例腦白質(zhì)無(wú)異常的聾兒作為對(duì)照組,比較兩組患兒植入人工耳蝸后手術(shù)效果、開(kāi)機(jī)調(diào)試結(jié)果及聽(tīng)力言語(yǔ)康復(fù)效果。結(jié)果 130例(30耳)電極全部植入耳蝸內(nèi);2所有患者術(shù)后無(wú)腦膜炎、面癱、腦脊液漏等并發(fā)癥;3所有腦白質(zhì)異�；純涸谌斯ざ佒踩胄g(shù)后都有聽(tīng)覺(jué);4腦白質(zhì)異常兒童術(shù)后平均聽(tīng)閾與對(duì)照組無(wú)明顯區(qū)別;5隨訪6至24月后,腦白質(zhì)異常患兒的聽(tīng)覺(jué)行為分級(jí)標(biāo)準(zhǔn)(categories of auditory performance,CAP)和言語(yǔ)可懂度分級(jí)標(biāo)準(zhǔn)(speech intelligibility rating,SIR)與對(duì)照組比較,差異均無(wú)顯著性意義(P0.05)。結(jié)論經(jīng)過(guò)嚴(yán)格術(shù)前評(píng)估后,人工耳蝸植入可應(yīng)用于腦白質(zhì)異常伴重度感音神經(jīng)性聾的患兒,其術(shù)后效果與腦白質(zhì)無(wú)異常的聾兒植入效果基本一致,術(shù)后的聽(tīng)力言語(yǔ)康復(fù)效果無(wú)明顯差異。
[Abstract]:Objective to explore the feasibility of cochlear implantation and the effect of hearing and speech rehabilitation on children with severe sensorineural hearing loss with abnormal white matter. Methods from January 2012 to December 2014, 120 children with cochlear implantation (120 ears) with severe sensorineural hearing loss were found in 15 children with abnormal white matter. A random sample of 15 cases of cerebral white matter abnormalities in deaf children as the control group, the effect of speech rehabilitation of children in two groups were compared after cochlear implantation surgery, debugging results and listening. Results 130 cases (30 ears) of all electrodes implanted in 2; all patients without meningitis, facial paralysis, cerebrospinal fluid leakage and other complications; 3 of all brain white matter abnormalities in all children with hearing after cochlear implantation; 4 cerebral white matter abnormalities in the average hearing threshold of postoperative children with the control group showed no significant difference between the 5 follow-up; 6 to 24 months after hearing behavior classification standard brain with abnormal white matter (categories of auditory performance, CAP) and speech intelligibility rating standard (speech intelligibility rating, SIR) compared with the control group, there was no significant difference (P0.05). Conclusion after strict preoperative evaluation after cochlear implantation can be applied to cerebral white matter abnormalities in patients with severe sensorineural hearing loss in children, the postoperative effect and brain white matter abnormalities without deaf children implantation are basically the same, no significant difference between the hearing and speech rehabilitation effect after the operation.
【作者單位】： 重慶醫(yī)科大學(xué)附屬第一醫(yī)院耳鼻咽喉科;
【基金】：國(guó)家臨床重點(diǎn)專科建設(shè)項(xiàng)目經(jīng)費(fèi)資助衛(wèi)辦醫(yī)政函[2012]649號(hào)~~
【分類號(hào)】：R764.43
【正文快照】： 兒童感音神經(jīng)性耳聾發(fā)病率逐年上升,學(xué)齡前兒童發(fā)病率約9/1000[1-2]。隨著當(dāng)前社會(huì)對(duì)聽(tīng)障兒童康復(fù)的關(guān)注與聚焦,越來(lái)越多的重度或極重度聽(tīng)障兒童接受了人工耳蝸的植入,術(shù)后建立聽(tīng)覺(jué),進(jìn)行了聽(tīng)力及言語(yǔ)的康復(fù)。腦白質(zhì)異常的重度感音神經(jīng)性聾患兒,在排除癲癇頻繁發(fā)作不能控制;嚴(yán)

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