脑发育异常语前聋患儿人工耳蜗植入疗效分析

Effect of Cochlear Implant in Children with Abnormal Brain Development

何佳凝;魏薇;马秀岚;

1:中国医科大学附属盛京医院耳鼻咽喉头颈外科-耳科病房

2:盘锦市中心医院耳鼻咽喉科

摘要
目的探讨伴脑发育异常的双侧极重度感音神经性语前聋患儿人工耳蜗植入术后的康复效果。方法以2013年11月至2015年9月在中国医科大学附属盛京医院行人工耳蜗植入术的38例脑发育异常(脑异常组)及38例脑发育正常(对照组)的双侧极重度感音神经性语前聋患儿为研究对象,脑异常组植入年龄12.5~138.8月,平均44.5±31.3月;对照组年龄13.8~120.8月,平均42.3±26.4月。两组均行单耳人工耳蜗植入术,术后3~4周开机;于开机后6、12、18、24、30、36个月分别进行声场下听阈测试、听觉行为分级标准(CAP)和言语可懂度分级标准(SIR)评估,比较两组结果。结果开机后6、12、18、24、30、36个月时脑异常组声场下平均听阈与对照组接近,两组间差异无统计学意义(均为P>0.05),两组间CAP、SIR得分差异亦无统计学意义(均为P>0.05)。结论脑发育异常包括多重和严重脑发育异常的重度、极重度感音神经性聋患儿均可行人工耳蜗植入术;本组脑发育异常的双耳极重度感音神经性聋患儿人工耳蜗植入后可获得良好的听觉和言语能力。
关键词
人工耳蜗植入;脑发育异常;疗效
基金项目(Foundation):
作者
何佳凝;魏薇;马秀岚;
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