内耳畸形人工耳蜗植入术后听力言语康复效果分析  

A questionnaires study on cochlear implantation in patientswith malformed inner ear

作　　者：李旭[1] 陈阳[1] 王方圆[1] 温立婷[1] 高雪[1] 邱建华[1] 

机构地区：[1]第四军医大学西京医院耳鼻咽喉头颈外科,西安710032

出　　处：《临床耳鼻咽喉头颈外科杂志》2009年第13期577-579,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家科技部"十一五"支撑课题(No:2007BAI18B12)

摘　　要：目的:使用听觉和言语问卷分级及术后产生听觉的最小电流值(T值)的方法,评估并比较内耳畸形与正常解剖结构语前聋患儿人工耳蜗植入术后的听觉言语康复效果。方法:按术前影像学检查将语前聋人工耳蜗植入患儿分为正常结构组和内耳畸形组,并配对组合,对患儿家长进行问卷形式调查随访,对术后听力及言语康复效果进行评估分析,记录术后1年调机T值。用秩和检验比较2组听觉行为分级标准(CAP)、言语可懂度分级标准(SIR)结果及T值。结果:人工耳蜗植入患儿家长术前主要担心术后效果不理想及手术并发症的发生,多数认为听力言语康复训练应由医疗机构进行;秩和检验显示:2组CAP及SIR均无显著差异,术后1年调机时产生听觉的T值无显著差异。结论:①内耳畸形患儿人工耳蜗植入术后,经正规康复训练,听力言语康复效果与内耳解剖结构正常植入者相同,人工耳蜗植入术可帮助伴耳蜗畸形的极重度感音神经性聋患者重建听力,重返主流社会;②听力言语康复训练尚有很多方面需要改进。Objective： To investigate the clinical experiences and access the auditory performance and speech intelligibility of cochlear implantees with inner ear malformations. Method..A retrospective study was performed on the surgical characteristics and the mapping characteristics after implantation of patients who received mult-ehannel cochlear implantation from 2000 to 2007 in Xijing Hospital. Matched with normal implantee, rank -sum test was performed to compare scores of categories of auditory performance（CAP）and speech intelligibility rating（SIR）. Re- suit： After the regular rehabilitation,the long term follow up of the auditory performance and speech intelligibility were very positive. There was no significant difference between normal group and malformations group. Conclusion：The cochear implantation can be performed safely in patients with malformed inner ear. The results suggest that cochlear implantation could also provide long term benefits to those malformed inner ear cases.

关 键 词：人工耳蜗植入术 语前聋 畸形 疗效 康复 

分 类 号：R318.18[医药卫生—生物医学工程]