本文選題：耳蝸植入術(shù)　切入點：Mondini畸形　出處：《臨床耳鼻咽喉頭頸外科雜志》2017年04期 　論文類型：期刊論文

【摘要】：目的:探討Mondini畸形患者采用彎電極進(jìn)行電子耳蝸植入的手術(shù)方法,比較直、彎電極電子耳蝸植入的術(shù)后效果。方法:收集進(jìn)行電子耳蝸手術(shù)的Mondini畸形患者,選擇植入彎電極的患者9例,另根據(jù)植入年齡、康復(fù)條件等選擇9例直電極植入患者進(jìn)行配對分組。分析兩組Mondini畸形患者術(shù)前聽力學(xué)特征、術(shù)中手術(shù)特點、術(shù)后神經(jīng)反應(yīng)遙測(NRT)結(jié)果及開機(jī)調(diào)試結(jié)果,隨訪術(shù)后聽覺行為分級標(biāo)準(zhǔn)(CAP)和言語可懂度分級標(biāo)準(zhǔn)(SIR)評分,對比分析采用不同電極患者的測試參數(shù)及術(shù)后康復(fù)效果。結(jié)果:Mondini畸形患者術(shù)前聽力均為極重度神經(jīng)性聾,4例術(shù)中出現(xiàn)腦脊液"井噴";直電極組2例出現(xiàn)面肌抽搐,其余無術(shù)后面癱、面肌抽搐、腦脊液漏、腦膜炎等并發(fā)癥;所有Mondini畸形患者術(shù)后均獲得聽覺,術(shù)中電極植入后測試NRT,彎電極組NRT引出率為77.78%,高于直電極組引出率(55.56%)。開機(jī)6個月收集編程調(diào)試的閾值(T-levels)、最大舒適強(qiáng)度(Clevels)和動態(tài)范圍,其中平均T值:彎電極組(145.11±10.88)CL,直電極組(168.44±22.45)CL,P0.05;平均C值:彎電極組(182.67±14.65)CL,直電極組(213.00±19.27)CL,P0.05;動態(tài)范圍:彎電極組(37.56±6.75)CL,直電極組(44.56±18.06)CL,P0.05。隨訪6個月~4年,CAP平均得分彎電極組為7.28±0.62,直電極組7.22±0.79,P0.05;SIR平均得分彎電極組為4.17±0.56,直電極組4.00±0.71,P0.05。結(jié)論:Mondini畸形患者可以根據(jù)需要采用彎電極電子耳蝸植入,術(shù)后聽力言語康復(fù)與直電極無顯著性差異,優(yōu)點是刺激電量較小,NRT引出率高,并發(fā)癥發(fā)生率低。
[Abstract]:Objective: To explore the surgical methods in patients with Mondini malformation with curved electrode cochlear implant is straight, curved electrode cochlear implantation effect after operation. Methods: Mondini malformation patients were collected for cochlear implant surgery, 9 cases of patients with curved electrode implantation, the other according to the age of implantation, 9 cases of rehabilitation conditions choose straight electrode implantation in patients with matching packet. Audiological characteristics of deformity patients before two groups of Mondini, the operation characteristics in operation, postoperative neural response telemetry (NRT) results and debugging results, postoperative auditory behavior grading standard (CAP) and speech intelligibility rating criteria (SIR score), comparative analysis of the effect of rehabilitation the test parameters and the patients with different electrodes. Results: Mondini malformation patients preoperative hearing are very severe sensorineural hearing loss, cerebrospinal fluid blowout occurred in 4 patients; straight electrode there were 2 cases with hemifacial spasm, rest 鏃犳湳鍚庨潰鐦，

本文編號：1627380