干旱区生态环境知识资源中心(Arid): 人工耳蜗植入的术前评估与术中处理

Arid

	人工耳蜗植入的术前评估与术中处理
其他题名	Pre-operation evaluation and intra-operation management of cochlear implantation
	张道行 1; 胡宝华 2; 肖玉丽 3; 史波宁 4
来源期刊	中华耳鼻咽喉科杂志
ISSN	0412-3948
出版年	2004
卷号	39 期号:10 页码:594-597
中文摘要	目的总结人工耳蜗植入术前评估和术中处理经验,以提高手术安全性和术后效果.方法对158例行人工耳蜗植入患者的术前听力学与影像学信息进行评估,与术中术后结果进行比较.结果 158例人工耳蜗植入者,中耳内耳形态正常者116例,中耳内耳有异常改变42例.6例术中出现井喷,除1例井喷术前未预料外,余157例均与术前评估吻合.术后全部患者重新建立了新的听觉,平均纯音听力(声压级)37.6 dB.结论人工耳蜗植入手术的安全性主要依靠术前影像学评估,使用高分辨率CT指导手术可以降低手术失败率,减少并发症.
英文摘要	Objective To summarize pre-operation evaluation experiences in cochlear implantation. Methods Performing auditory evaluation and image analysis seriously in 158 severe hearing loss or total deaf cases before cochlear implantation, comparing their performance with the findings during and post operation. Results Among the total 158 cases, 116 oases with normal structure, 42 cases with the abnormal findings of the inner or middle ear. Stapedial gusher happened in 6 cases, 1 case was not predicted before operation. Except 1 case with serious malformation, the findings of other 157 cases in operation were consistent with the pre-operation evaluation. We helped all patients reconstruct auditory conduction with cochlear implantation, and the average hearing level up to 37.6 dB SPL Conclusions Performing image analysis seriously before operation and planning for operation according to HRCT can do great help to cochlear implantation. The operation under the HRCT instruction has less complications.
中文关键词	耳蜗植入 ; 手术期间 ; 体层摄影术 ; X线计算机
英文关键词	Cochlear implantation Intraoperative period Tomography X-ray computed
语种	中文
国家	中国
收录类别	CSCD
WOS类目	OTORHINOLARYNGOLOGY
WOS研究方向	Otorhinolaryngology
CSCD记录号	CSCD:1674894
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/205815
作者单位	1.首都医科大学附属北京友谊医院耳鼻咽喉科, 北京 100050, 中国; 2.浙江省余姚市人民医院耳鼻咽喉科; 3.哈尔滨医科大学附属二院耳鼻咽喉科; 4.宁波大学医学院附属医院耳鼻咽喉科
推荐引用方式 GB/T 7714	张道行,胡宝华,肖玉丽,等. 人工耳蜗植入的术前评估与术中处理[J],2004,39(10):594-597.
APA	张道行,胡宝华,肖玉丽,&史波宁.(2004).人工耳蜗植入的术前评估与术中处理.中华耳鼻咽喉科杂志,39(10),594-597.
MLA	张道行,et al."人工耳蜗植入的术前评估与术中处理".中华耳鼻咽喉科杂志 39.10(2004):594-597.