75岁以上高龄人工耳蜗植入术  

Cochlear implant for elder patients over 75 years old

作　　者：宋跃帅 王振晓[1] 谢静[1] 韩曙光[1] 王伟[1] 刘韵[1] 王林娥[1] 龚树生[1] SONG Yueshuai;WANG Zhenxiao;XIE Jing;HAN Shuguang;WANG Wei;LIU Yun;WANG Lin＇e;GONG Shusheng(Department of Otolaryngology Head and Neck Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing,100032,China)

机构地区：[1]首都医科大学附属北京友谊医院耳鼻咽喉头颈外科,北京100032

出　　处：《临床耳鼻咽喉头颈外科杂志》2018年第19期1477-1479,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：首都医科大学附属北京友谊医院启动课题(No:yyqdkt2016-11);首都医科大学校自然项目(No:PYZ2017108)

摘　　要：目的:评估75岁以上高龄重度-极重度感音神经性聋患者对人工耳蜗植入术(CI)的耐受能力及其术后效果。方法:筛选行CI时年龄>75岁的患者,分析临床资料,评估手术效果。结果:行CI时年龄超过75岁的患者共7例,占所有植入患者的1.31%。接受CI时的年龄为75~88岁,平均80岁,中位年龄80岁。所有患者均可耐受全身麻醉和CI,无明显手术及麻醉相关并发症发生,仅1例患者术后出现一过性轻度平衡障碍。术后随访4~40个月,平均18.86个月,中位随访14个月。术后言语可懂度分级标准(中文版)平均4级,听觉行为分级(中文版)平均5级。结论:75岁以上高龄重度-极重度感音神经性聋患者可以接受CI治疗,术后言语恢复效果满意。Objective：To evaluate the operation safety,hearing as well as speech results of cochlear implantation that were applied in patients over 75 years old.Method：A series of patients who were diagnosed as severe to profound sensorineural hearing loss and received cochlear implantation were admitted.The clinical data and rehabilitation effects of the patients who were over 75 years old were summarized.Result：During this period,in which 7（1.31%）patients aged over 75 at implantation.The age ranged from 75 to 88,with an average of 80 years old.All of the 7 patients received a safe operation under general anesthesia.No major or minor complications happened related to surgery and anesthesia.Only one 84 years old male patient suffered from a transient mild balance problem.Follow up were carried out regularly,ranging from 4-40 months.The average of categories of auditory performance and speech intelligibility rating is 4 and 5 respectively.Conclusion：The cochlear implant surgery and general anesthesia are safe for patients over 75 years old,and these patients can benefit from cochlear implantation.

关 键 词：高龄 听觉丧失 感音神经性 耳蜗植入术 

分 类 号：R764.43[医药卫生—耳鼻咽喉科]