语前聋患儿分期双侧人工耳蜗植入术后短期效果分析

Analysis of Short-term Effects of Cochlear Implantation for Children with Prelingual Deafness after Bilateral Cochlear Implantation

李芮;邱建新;

1:安徽医科大学第一附属医院耳鼻咽喉头颈外科

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摘要

目的评估语前聋患儿分期双侧人工耳蜗植入术后的言语感知、声源定位能力、听觉能力等,探讨双耳助听的优越性。方法选取40例于2014～2015年间第一次行单侧人工耳蜗植入的语前聋患儿,其中20例于2016～2017年间再次行对侧人工耳蜗植入(A组),另20例单侧人工耳蜗植入患儿作为B组。采用言语空间特性父母版(the speech,spatial and qualities of hearing scale-parent's version,SSQ-P)、听觉行为分级-Ⅱ(categories of auditory performance-Ⅱ,CAP-Ⅱ)两个量表,首先对40例患儿第一次人工耳蜗植入术后2年(T_1)的空间听力、听觉及言语能力等方面进行评估,在A组20例患儿完成对侧人工耳蜗植入术后1年时(T_2),对40例患儿进行第二次评估,比较两组的SSQ-P得分、CAP-Ⅱ分级。结果第一次人工耳蜗植入术后2年(T_1),两组间SSQ-P得分和CAP-Ⅱ分级差异无统计学意义(P>0.05)。第二次评估时(T_2)A组的SSQ-P得分和CAP分级均高于B组,差异有统计学意义(P<0.01,P<0.05)。结论双侧人工耳蜗植入较单侧人工耳蜗植入的听觉效果更好,尤其是患者的空间听力显著提高。

关键词

双侧人工耳蜗植入;双耳听觉

基金项目(Foundation):

作者

李芮;邱建新;

参考文献

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李芮邱建新