突发性聋患者前庭功能分析

Analysis Of Vestibular Function in Patients with Sudden Deafness

许教远;区永康;郑亿庆;杨海弟;陈玲;蔡跃新;李湘辉;邱泽恒;钟俊伟;

1:东莞市太平人民医院耳鼻咽喉头颈外科

2:中山大学附属医院孙逸仙纪念医院耳鼻咽喉科

摘要
目的分析突发性聋患者的前庭功能。方法 436例突发性聋患者分为伴眩晕和不伴眩晕组,伴眩晕组147例中轻-中重度听力损失75例,其中上升型听阈曲线28例,平坦型26例,下降型21例;重度及以上听力损失72例;不伴眩晕组289例中轻-中重度听力损失157例,其中听阈曲线上升型36例,平坦型57例,下降型64例;重度及以上听力损失132例。对两组患者分别通过视频眼震电图检测前庭功能。结果伴眩晕组同侧前庭功能下降123例(83.67%,123/147),其中轻-中重度听力损失51例,重度及以上听力损失72例;不伴眩晕组同侧前庭功能下降165例(57.09%,165/289),其中轻-中重度听力损失45例,重度及以上听力损失120例。35例伴眩晕患者伴发良性阵发性位置性眩晕,其中28例(80%,28/35)前庭功能下降。结论突发性聋伴眩晕者前庭功能明显下降,不伴眩晕者同样可存在前庭功能损伤,且听力损失越严重,前庭功能下降的可能性越大。
关键词
突发性聋;前庭功能;视频眼震电图
基金项目(Foundation):
作者
许教远;区永康;郑亿庆;杨海弟;陈玲;蔡跃新;李湘辉;邱泽恒;钟俊伟;
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