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术侧伴分泌性中耳炎患者行人工耳蜗植入术的安全性与效果分析

Analysis of the Safety and Effectiveness of Cochlear Implantation in Patients with Secretory Otitis Media

刘学铭;罗建芬;晁秀华;樊兆民;王海波;徐磊;

1:山东省耳鼻喉医院

2:山东大学附属山东省耳鼻喉医院听觉植入科

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摘要

目的探讨双侧极重度感音神经性聋伴分泌性中耳炎(secretory otitis media, SOM)患者行人工耳蜗植入术的术中、术后安全性及术后听觉言语康复效果。方法对术侧伴分泌性中耳炎(SOM组)和不伴分泌性中耳炎(对照组)的极重度聋患者各36例行人工耳蜗植入术，SOM组术中彻底清除中耳及乳突粘液，保证上鼓室引流通畅，余电极植入方法同对照组；评估两组术中、术后并发症，术后12个月通过助听听阈、有意义听觉整合量表(MAIS)、听觉行为分级(CAP)、言语可懂度分级(SIR)评估听觉言语康复效果，比较两组结果。结果两组患者均顺利植入全部电极，术中均未出现面神经裸露、硬脑膜损伤等手术并发症，术后均未出现伤口感染、延迟愈合、急性中耳炎、化脓性中耳炎、面瘫、乳突炎等术后并发症；术后12个月SOM组助听听阈为31.5±5.9 dB HL,CAP为5.4±1.4分，SIR为3.1±1.3分，MAIS为35.0±4.5分；对照组助听听阈为34.2±3.7 dB HL,CAP为6.0±1.2分，SIR为3.6±1.1分，MAIS为35.4±4.2分，两组间差异无统计学意义(P>0.05)。结论双侧极重度感音神经性聋伴分泌性中耳炎的患者可一期行人工耳蜗植入术，不会增加其术中及术后的风险，术后可获得良好的听觉言语康复效果。

关键词

分泌性中耳炎;人工耳蜗植入;并发症;听觉言语康复

基金项目(Foundation):

作者

刘学铭;罗建芬;晁秀华;樊兆民;王海波;徐磊;

参考文献

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刘学铭罗建芬晁秀华樊兆民王海波徐磊