伴颅内疾患语前聋病人的人工耳蜗植入术(附3例报告)  

Cochlear implantation for prelinguistic deaf patients with encephalic disease (3 cases report)

作　　者：蔡鑫章[1] 冯永[1] 贺楚峰[1] 陈登明[2] 梅凌云[1] 田湘娥[1] 严新翔[3] 

机构地区：[1]中南大学湘雅医院耳鼻咽喉科,长沙410008 [2]中南大学湘雅医院放射科,长沙410008 [3]中南大学湘雅医院神经内科,长沙410008

出　　处：《中华耳科学杂志》2005年第1期23-25,共3页Chinese Journal of Otology

基　　金：国家自然科学基金(No;30271404);国家973(No;2001CB510302);湖南省卫生厅(No;B2004-020)项目资助

摘　　要：目的探讨伴有颅内疾患的聋儿人工耳蜗植入术候选者的手术和术前评估的问题。方法总结在我院发现的3例伴有颅内疾病的语前聋病人,3例都已经实施了人工耳蜗植入术。结果3例病人均在术前的磁共振检查发现了合并有颅内疾病,手术后病人均成功重建了听力。结论对于伴有颅内疾病的人工耳蜗植入术候选者在经过术前全面评估和审慎观察后可以实施手术;术前磁共振检查是发现大脑疾病的重要手段。Objective To discuss cochlear implantation and preoperative evaluation for prelinguistic deaf patients with encephalic disease. Methods We reviewed the diagnosis and treatment of 3 prelinguistic deaf patients with encephalic disease, all the patients had been received a cochlear implant. Results These 3 patients had been detected encephalic disease preoperatively through MRI. They had been reconstructed hearing successfully after cochlear implantation. Conclusion Cochlear implantation can be performed for patients with encephalic disease after full preoperative evaluation and observation; preoperative MRI is a very important method to detect encephalic disease.

关 键 词：病人 人工耳蜗植入术 颅内疾病 颅内疾患 语前聋 磁共振检查 术前评估 手术后 发现 脑疾病 

分 类 号：R764[医药卫生—耳鼻咽喉科] R651[医药卫生—临床医学]