突发性聋磁共振检查的现状与进展  

Current status and advances in magnetic resonance imaging in sudden deafness

作　　者：郭翔[1] 马永强[2] 伊海金[1] GUO Xiang;MA Yongqiang;YI Haijin(Department of Otorhinopharyngology Head and Neck Surgery,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China;Radiology,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China)

机构地区：[1]清华大学附属北京清华长庚医院/清华大学临床医学院耳鼻咽喉头颈外科,北京102218 [2]清华大学附属北京清华长庚医院/清华大学临床医学院放射诊断科,北京102218

出　　处：《山东大学耳鼻喉眼学报》2025年第2期140-144,151,共6页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：突发性聋是耳科学常见的疾病。近年来,其发病率逐年上升,并且发病年龄趋于年轻化。如何尽快判断突发性聋的原因并及时给出合理有效的治疗,成为目前关注和研究的热点和难点。随着影像学技术的不断发展和进步,学者们通过对突发性聋的患者进行内听道MRI检查,使突发性聋病因的检出率及预后判断的准确率逐渐提高。内听道MRI检查中的T_(1)WI、T_(2)WI、3D-T2Flair、DTI、DSI等序列,在显示和帮助医生发现内听道肿瘤、后颅窝梗死、内耳出血、迷路炎、神经纤维完整性及小脑前下动脉血管走行等突发性聋的病因方面,起到十分关键的作用。本文将分别从上述几个方面综述目前通过MRI检查判断突发性聋的病因及预后的现状及最新进展,并为及时选择最佳的治疗方案提供思路和见解。Idiopathic sudden sensorineural hearing loss is a common disease in Otology.Recently,its incidence rate has been increasing,and the age of onset appears to have become younger.The quick determination of the cause of idiopathic sudden sensorineural hearing loss,and the provision of reasonable and effective treatment in a timely manner has,accordingly,become a matter of focus.With the continuous development and progress of imaging technology,scholars have gradually improved the detection rate of the cause of sudden deafness and the accuracy of prognosis by conducting internal auditory canal magnetic resonance imaging(MRI)examinations.The T_(1)WI,T_(2)WI,3D-T2Fair,DTI,DSI and other sequences in the MRI examination of the internal auditory canal play a crucial role in assisting clinicians in diagnosing the causes of sudden deafness.These may include internal auditory canal tumors,posterior cranial fossa infarctions,internal ear bleeds,labyrinthitis,loss of nerve fiber integrity,and the course of the anterior inferior cerebellar artery blood vessels.This article provides a comprehensive review of the current status and recent advancements in determining the etiology and prognosis of sudden deafness through MRI examinations of the above aspects,.Thus,this review provide valuable insights for the timely selection of optimal treatment plan.

关 键 词：突发性聋 核磁共振 蜗后病变 内耳出血 迷路炎 小脑前下动脉 

分 类 号：R764.437[医药卫生—耳鼻咽喉科]