前庭功能测试对低频下降型突发性聋患者预后判断的价值  

The correlation between normal or abnormal vestibule function and prognosis of the low frequency sudden deafness

作　　者：陈静[1] 刘海兵[1] 赵荣[1] 关丽莎 洪逸光[1] 胡秀娟[1] 张杰[1] 康伟 

机构地区：[1]成都大学附属医院耳鼻咽喉科,成都610081

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第24期1910-1912,1918,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨低频下降型突发性聋患者的前庭功能测试异常情况对预后的影响。方法:回顾性分析88例低频下降型突发性聋患者的冷热试验+cVEMP+oVEMP结果,按前庭功能异常的项数分为全部正常组(A组)、1项异常组(B组)、2项异常组(C组)和3项全部异常组(D组),统计每组治疗有效及无效的例数,并分别比较有无统计学差异。结果:A组治疗有效率为27.27%,无效率为2.27%;B组治疗有效率为36.36%,无效率为4.55%;C组治疗有效率为9.09%,无效率为6.82%;D组治疗有效率为0%,无效率为13.64%。A、B、D组组内有效率与无效率比较,差异有统计学意义(P<0.05);C组有效率与无效率比较,差异无统计学意义(P>0.05)。结论:低频下降型突发性聋患者,前庭功能全部正常或仅1项异常者预后好,而前庭功能3项异常者预后差,前庭功能2项异常者预后不确定。前庭测试结果有助于协助判断预后,指导治疗。Objective：To study the correlation between prognosis and status of the vestibule functions with the patients of the low frequency sudden deafness（SD）.Method：Eighty-eight patients with low frequency SD were enrolled in this study,the cervical vestibular evoked myogenic potential（cVEMP）,the ocular VEMP（oVEMP）and caloric test were evaluated.Based upon the results of the test,patients were divided into 4 groups.A group has no abnormal test results,B group has one abnormal test results,C group has two abnormal test results,and D group has three abnormal test results.Calculating and comparing the effective rate and uneffective rate were conducted in every group after treatment.Result：In A group,the effective rate is 27.27%,the uneffective rate is 2.27%.In B group,the effective rate is 36.36%,the uneffective rate is 4.55%.In C group,the effective rate is 9.09%,the uneffective rate is 6.82%.In D group,the effective rate is 0%,the uneffective rate is 13.64%.The difference between effective and uneffective rate was significant in group A,B,and D,while,there was no significant difference in group C.Conclusion：The prognosis of low frenquency SD patients without abnormal test results or only with one abnormal test results is good.While,the prognosis of patients with three abnormal test is bad.The prognosis of patients with two abnormal test is not sure.The vestibule functions test can be used to determine the prognosis of low frequency SD in clinical treatment.

关 键 词：聋 突发性 颈源性前庭诱发肌源性电位 眼源性前庭诱发肌源性电位 冷热试验 预后 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]