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

  更多相關文章： 感音神經(jīng)性聾 人工耳蝸 腦白質(zhì)異常 聽覺和言語康復

【摘要】：目的探討對腦白質(zhì)異常的重度感音神經(jīng)性聾患兒,人工耳蝸植入手術的可行性及聽力言語康復效果分析。方法自2012年1月至2014年12月行人工耳蝸植入術的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。隨機抽取15例腦白質(zhì)無異常的聾兒作為對照組,比較兩組患兒植入人工耳蝸后手術效果、開機調(diào)試結果及聽力言語康復效果。結果 130例(30耳)電極全部植入耳蝸內(nèi);2所有患者術后無腦膜炎、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后都有聽覺;4腦白質(zhì)異常兒童術后平均聽閾與對照組無明顯區(qū)別;5隨訪6至24月后,腦白質(zhì)異�；純旱穆犛X行為分級標準(categories of auditory performance,CAP)和言語可懂度分級標準(speech intelligibility rating,SIR)與對照組比較,差異均無顯著性意義(P0.05)。結論經(jīng)過嚴格術前評估后,人工耳蝸植入可應用于腦白質(zhì)異常伴重度感音神經(jīng)性聾的患兒,其術后效果與腦白質(zhì)無異常的聾兒植入效果基本一致,術后的聽力言語康復效果無明顯差異。
[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)科大學附屬第一醫(yī)院耳鼻咽喉科;
【基金】：國家臨床重點�？平ㄔO項目經(jīng)費資助衛(wèi)辦醫(yī)政函[2012]649號~~
【分類號】：R764.43
【正文快照】： 兒童感音神經(jīng)性耳聾發(fā)病率逐年上升,學齡前兒童發(fā)病率約9/1000[1-2]。隨著當前社會對聽障兒童康復的關注與聚焦,越來越多的重度或極重度聽障兒童接受了人工耳蝸的植入,術后建立聽覺,進行了聽力及言語的康復。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

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