软带BAHA与植入式BAHA在先天性中外耳畸形患者的效果比较  

A Comparison between BAHA Softband and BAHA Implant in Patients with Bilateral Congenital Deformation of Middle and Outer Ears

作　　者：邹艺辉[1] 焦青山[1] 杨仕明[1] ZOU Yihui;JIAO Qingshan;YANG Shiming(Department of Otolaryngology Head,Chinese PLA General Hospital,Beijing 100853,China;Neck Surgery,Institute of Otolaryngology,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院耳鼻咽喉头颈外科,解放军耳鼻咽喉研究所

出　　处：《中华耳科学杂志》2018年第1期19-22,共4页Chinese Journal of Otology

基　　金：国家自然科学基金面上项目(81670940；81670941；81570933)，青年基金(81400472)，北京科技创新基地培育与发展专项(z151100001615050)

摘　　要：目的比较软带BAHA与植入式BAHA(Bone-anchored hearing aids,骨锚式助听器)对双侧先天性中外耳畸形患者听力改善的效果。方法通过佩戴软带BAHA组6例(其中3例为自身对照)与植入式BAHA组3例的组间比较及自身对照,比较2种方式佩戴患者/家属佩戴前后主观感觉听力改善情况、日常交流、0.5-4k Hz纯音(声场)测听或条件反射测听。结果 2种佩戴方式均能使患者获得明显的听力改善,达到交流水平,0.5-4k H纯音(声场)测听或条件反射测听平均气导阈改善软带组为29.8d B(3例自身对照为31.3d B),植入式佩戴41.8d B,植入式BAHA较软带BAHA更进一步改善12d B(自身对照10.5 d B),且软带BAHA在0.5k Hz、1k Hz,植入式BAHA在0.5k Hz、1k Hz、2k Hz改善最好,均达正常听阈水平。结论软带BAHA与植入式BAHA对双侧先天性中外耳畸形患者都是有效的听力解决方案,植入式BAHA佩戴效果更好。Objective To compare hearing outcomes between BAHA(Bone-anchored hearing aids)softband and BAHA implant in patients with bilateral congenital deformation of middle and outer ears.Methods Outcomes of BAHA softband and BAHA implant were compared,including daily communication and pure tone(sound field)audiometry(or condition reflex audiometry for children)at 0.5-4 kHz.Results Obvious improvement in hearing and daily communication after BAHA softband or BAHA implant was noticed.Average improvement was 29.8 dB for softband and 41.8 dB for implant in pure tone(sound field)audiometry or condition reflex audiometry at 0.5-4 kHz,with BAHA implant showing a 12 dB advantage over BAHA softband(10.5 dB for self-control BAHA implant comparison).Conclusion Both BAHA softband and implant are effective hearing solution for patients with bilateral congenital deformation of middle and outer ears,although the latter is superior in outcomes.

关 键 词：软带BAHA 植入式BAHA 先天性中外耳畸形 

分 类 号：R764[医药卫生—耳鼻咽喉科]