人工耳蜗植入术围手术期处理及注意事项  

Perioperative treatment and precautions in cochlear implantation

作　　者：尹海英[1,2] 古林涛[1] 于淑东[1] 王启荣[1] 

机构地区：[1]山东省千佛山医院耳鼻咽喉头颈外科,山东济南250014 [2]中国民用航空局民用航空医学中心民用航空体检鉴定所,北京100123

出　　处：《山东大学耳鼻喉眼学报》2015年第4期19-21,24,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨人工耳蜗植入手术的围手术期处理方法及注意事项,旨在提高人工耳蜗植入成功率及术后言语效果,减少失误及并发症。方法回顾性分析61例人工耳蜗植入手术患者病历资料,总结术前检查筛选、围手术期并发症及其处理、术后调机等多方面的注意要点。结果本组患者61例,包括语前聋、语后聋、大前庭导水管综合征、Mondini畸形、合并存在大前庭导水管综合征及Mondini畸形、合并脑白质异常和再植入这几种不同情况,术后均取得良好效果。结论人工耳蜗植入术的前提是术前一定要对患者进行准确有效的评估,进行植入手术时操作规范化、流程化,但同时要兼顾不同患者的个体性差异,术后系统调机和听觉言语康复训练也十分重要。Objective To discuss the perioperative treatment and matters needing special attention in cochlear implantation to improve the success rates of surgery,promote postoperative speech quality,and reduce errors and complications.Methods Clinical data of 61 patients with cochlear implantation surgery was reviewed. We summarized the matters needing attention,including preoperative screening,perioperative complications and treatment,and postoperative mapping. Results Good results have been achieved in 61 patients with preverbal deafness,postverbal deafness,large vestibular aqueduct syndrome,Mondini deformity,large vestibular aqueduct syndrome plus Mondini deformities,concurrent cerebral white matter abnormalities,or secondary implantation. Conclusion Accurate preoperative assessment,standardized but individualized operation,postoperative mapping and speech rehabilitation training are the keys for cochlear implantation surgery.

关 键 词：人工耳蜗植入术 感音神经性聋 大前庭导水管综合征 MONDINI畸形 脑白质异常 

分 类 号：R764.35[医药卫生—耳鼻咽喉科]