贵州省361例聋儿人工耳蜗植入术前评估情况研究word格式论文.docxVIP

这不仅关系到CI适应症的选择，也为手术方案的制定提供了关键性的理论依据，更是为提高术后康复效果、规避不必要的风险提供了专业性的指导。【关键词】人工耳蜗；人工耳蜗植入术；术前评估；贵州省IIIAnAnalysisofthePreoperativeEvaluationofCochlearImplantationof361PatientsinGuizhouProvinceMajor:ENTPostgraduate:QiuChenSupervisor:YouqinWang【Abstract】Objective ：Tobetterprovideclinicalevidenceforcochlearimplantation,weanalyzedthepreoperativeevaluationinformationofdeafchildrenwhoappliedforthecolorfuldreamactionplan(artificialcochlea)rehabilitationprogramsinGuizhouprovince.Methods：Referencingtostandardsfrom Screeningstandardfor?colorfuldreamactionplan?(artificialcochlea)rehabilitationprograms,wecollectedtheinformationofpreoperativeevaluationfromdeafchildrenwhoappliedforthisaidprojectfrom2009.10to2014.05inTheHearingcenterofGuizhouPeople?sHospital.Therewere361cases(male215,female146)andtheSPSS17.0softwarepackagewasusedforstatisticalanalysis.Results：(1)255casespassedthepreoperativeevaluation(throughgroup),accountingfor70.64%ofthetotalapplications;106casesdidnotpassthepreoperativeevaluation(failedgroup),accountingfor29.36%.(2)Thestateoffailedgroup:1)27caseswereineligibletotheaudiologicalevaluation,accountingfor25.47%,including6casesfailedmorethantwoprojectsatatime.Amongthese27patients,25 caseshearinglosspossessedmoderate,accountingfor92.59%;①9casesfailedinbehaviouralaudiometry,accountingfor8.49%;②4casesfailedinacousticimmitance,withpressuretympanogramB,accountingfor3.77%;③8caseslessthan90dBnHLinABRthreshold,accountingfor7.55%;④12casesfailedbecauseofASSR,accountingfor11.32%;⑤4caseshadreactioninDPOAE,accountingfor3.77%.2)44casesfailedinimagingevaluation.①15caseshadseverediseaseincerebralwhitematter,accountingfor14.15%;②4caseshadacuteotitismedia,accountingfor3.77%;③Innerearmalformationshad15cases(Mondinideformityhad4cases,Michelledeformityhad1case,internalauditorycanalstenosishad2cases,largevestibularaqueductsyndromehad2cases,deafearossificationhad1case,bilateralcochlearsmallcystichad1case,4caseswereothertypesofcochleardysplasia),accountingfor14.15%;④Remainder10caseshadintracraniald