听觉电生理监测技术在耳外科手术中的应用进展  

The Application of Auditory Electrophysiological Techniques in Monitoring Ear Microsurgery

作　　者：黄伟洛 刘玉和 HUANG Wei-luo;LIU Yu-he

机构地区：[1]广州优听电子科技有限公司,广州510275 [2]首都医科大学附属北京友谊医院耳鼻咽喉头颈外科,北京100050

出　　处：《中国听力语言康复科学杂志》2022年第4期294-298,301,共6页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：北京市科学技术委员会资助课题(Z191100006619027);国家自然科学基金面上项目资助课题(82071070)。

摘　　要：听觉电生理技术分别在中耳疾病听骨链重建术、人工耳蜗植入术、听神经瘤切除术、微血管减压术及其他各类后颅窝和侧颅底手术获得广泛的应用。涉及监测技术包括听性脑干反应(ABR)、耳蜗电图(ECochG)、听神经动作电位(cochlearnerve action potential,CNAP)、电诱发听觉脑干反应(EABR)以及听觉稳态反应(auditory steady state responses,ASSR),其中,ABR、EcochG和ASSR分别被应用到中耳手术和听神经瘤手术术中听功能监测,EABR技术被应用到人工耳蜗植入术和听觉脑干植入术(auditory brainstem implantation,ABI)评价耳蜗神经功能完整性,CNAP和EABR技术被应用到听神经瘤切除术耳蜗神经损伤及功能完整性评价。这些监测技术针对不同手术各有不同敏感性和价值,本文就以上技术的基本概念、应用价值和进展等进行综述。Auditory electrophysiological techniques have been applied widely to the surgery of ossicular chain reconstruction,cochlear implantation,acoustic neuroma resection,microvascular decompression and other posterior fossa or lateral skull base surgery.The involved techniques include auditory brainstem response(ABR),electrocochleography(ECochG),cochlear nerve action potential(CNAP),electrically evoked auditory brainstem response(EABR)and auditory steady state responses(ASSR).The ABR,EcochG and ASSR are applied to the surgery of middle ear and acoustic neuroma,EABR to the cochlear implantation and auditory brainstem implantation for evaluating the function integrity of cochlear nerve,CNAP and EABR the surgery of acoustic neuroma resection.These techniques have different sensitivities and clinical values for different surgery.This review will briefly introduce the basic definition,clinical value and progress of these relative auditory electrophysiological techniques.

关 键 词：耳显微外科 耳神经外科 术中听力监测 听觉电生理 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]