梅尼埃病内淋巴积水程度与听力损失相关性的研究  

Correlation between the degree of endolymphatic effusion and hearing loss in Ménière's disease

作　　者：侯博 于金玉 巩若箴[1,2,3] HOU Bo;YU Jinyu;GONG Ruozhen(Shangdong University,Jinan 250012,China;Department of Medical Imaging,Shandong Provincial Hodpital,Jinan 250021,China;Department of Medical Imaging,Shandong Provincial Hodpital Afiliated to Shandong First Medical University,Jinan 250021,China)

机构地区：[1]山东大学,山东济南250012 [2]山东省立医院医学影像科,山东济南250021 [3]山东第一医科大学附属省立医院医学影像科,山东济南250021

出　　处：《医学影像学杂志》2023年第5期749-752,共4页Journal of Medical Imaging

摘　　要：目的探讨梅尼埃病患者内耳钆造影MRI内淋巴积水程度与患者听力损失之间的相关性。方法选取147例梅尼埃病患者资料,所有患者均进行内耳钆造影MRI及纯音听阈检查,对患耳的前庭及耳蜗内淋巴积水程度分别进行评估,将积水程度与听力检查结果进行相关性分析。结果Spearman相关性检验分析显示,患耳前庭及耳蜗内淋巴积水程度与不同听阈听力检查结果均呈正相关性(P<0.05)。结论梅尼埃病患者内耳内淋巴积水程度与听力检查结果呈正相关性,可以为临床判断梅尼埃病病程及治疗提供一定的帮助。Objective To investigate the correlation between the degree of endolymphatic fluid accumulation on gadolinium imaging MRI of the inner ear and hearing loss in patients with Meniere's disease. Methods The data of 147 patients with Ménière's disease were selected, and all patients underwent gadolinium imaging MRI of the inner ear and pure tone hearing threshold examination. The degree of vestibular and cochlear endolymphatic fluid in the affected ear was evaluated separately, and the degree of fluid accumulation was correlated with the audiometric findings. Results Spearman's correlation test analysis showed that the degree of lymphatic effusion in the vestibule and cochlea of the affected ear was positively correlated with the audiometric findings at different hearing thresholds(P<0.05). Conclusion The degree of lymphoid fluid in the inner ear of patients with Ménière's disease is positively correlated with the hearing test results, which can provide some help for clinical judgment of the course of Ménière's disease and treatment.

关 键 词：梅尼埃病 磁共振成像 内淋巴积水 听力损失 钆对比剂 

分 类 号：R764.3[医药卫生—耳鼻咽喉科] R445.2[医药卫生—临床医学]