诺尔康人工耳蜗在特殊病例中的应用及疗效分析  

An Analysis of Special Applications and Effects of Nurotron Cochlear Implants

作　　者：贺楚峰[1] 梅凌云[1] 冯永[1] HE Chu-feng MEI Ling-yun FENG Yong

机构地区：[1]中南大学湘雅医院耳鼻咽喉头颈外科,长沙410008

出　　处：《中国听力语言康复科学杂志》2017年第1期25-27,共3页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：973计划(2014CB541701);国家自然科学基金(81170923)

摘　　要：目的通过总结诺尔康人工耳蜗在特殊病例中的应用情况,客观评价诺尔康人工耳蜗在特殊类型感音神经性耳聋患者中的有效性及安全性,为相关患者人工耳蜗植入提供参考。方法对大前庭导水管综合征、脑白质营养不良、耳硬化症、慢性化脓性中耳炎、双侧植入、再次植入等特殊病例患者,比较分析接受诺尔康人工耳蜗植入过程与类似病例在其他人工耳蜗植入过程中的异同点,术后定期调试及听觉言语测试评价其安全性及听觉言语康复效果,总结诺尔康人工耳蜗在特殊病例人工耳蜗植入中的特点并进行疗效分析。结果 13例14耳特殊病例患者均成功植入诺尔康人工耳蜗且无并发症。诺尔康人工耳蜗特殊病例组患者术后声场测听平均听阈为25~35 dB HL,均达到日常生活实用听力水平。术后开机3个月声母、韵母、单音节词言语识别率分别为52.33±10.95%、62.32±11.01%及40.11±9.43%,与诺尔康普通病例组及某国外品牌对照组术后言语识别率无统计学差异(P>0.05)。结论诺尔康人工耳蜗在产品安全性及有效性方面和国外产品并无显著差别,可常规应用于特殊病例的人工耳蜗植入手术。Objective To make an objective evaluation of the reliability and effectiveness of Nurotron Cochlear Implant in special cases of sensorineural deafness and offer reference to patients with similar diseases. Methods Among the patients receiving cochlear implant, we chose patients of special complication or other abnormalities as the target for the study in this paper. The special complication included Large Vestibular Aqueduct Syndrome（LVAS）, Hypertensive leukoencephalopathy, Otosclerosis, and Chronic suppurative otitis media. The abnormalities included bilateral implants and re-implantation. We made a study of the surgery of these cases and assessed the hearing speech rehabilitation effects after implants and finally drawn a conclusion of Nurotron Cochlear Implant. Results 14 Nurotron Cochlear Implants were successfully implanted in 13 patients of special complication or other abnormalities and no complications occurred. The results of intra-operative impedance tests were in the normal range. The pure tone average in sound field of patients in special cases group who received Nurotron Cochlear Implant was among 25 to 35dB. The speech discrimination scores of initials and finals and single-syllable words after 3 months after the first use of cochlear implants were 52.33±10.95% and 62.32±11.01% and 40.11±9.43%. There was no significant difference among the special cases group with Nurotron Cochlear Implants and normal cases group with Nurotron Cochlear Implants and other group with Cochlear Implants of foreign brands. Conclusion Nurotron Cochlear Implants can be used routinely in special cases of cochlear implantation and there are no significant differences between the Nurotron Cochlear Implants and those similar products at abroad in safety and effectiveness.

关 键 词：人工耳蜗 大前庭导水管综合征 脑白质营养不良 耳硬化 双侧植入 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]