摘要
目的分析伴有前庭症状的突发性聋患者的临床诊治情况。方法对解放军总医院耳鼻咽喉科2002年1月~2007年5月期间住院治疗的47名（48耳）伴有前庭症状的突聋患者的临床资料进行综合回顾分析。结果47例患者中，女25人（26耳），年龄15～64岁，平均45．7岁；男22人（22耳），年龄14-57岁，平均42．3岁；单耳发病46人（97．9％），双耳同时发病1人（2．1％），其中左耳23耳（47．9％），右耳25耳（52．1％）；中重度聋6耳（12．5％），重度聋22耳（45．8％），极度聋20耳（41．7％）；听力曲线低频下降型5耳（10．4％），平坦型10耳（占20．8％），高频下降型33耳（68．8％）；经过一个疗程治疗后，治愈3耳（6．3％），显效5耳（10．4％），有效11耳（22．9％），无效29耳（60．4％）。结论伴有前庭症状的突聋患者听力损失严重，常规治疗效果不佳，预后差，其治疗方法需进一步探索。
Objective To investigate the case of sudden deafness accompanied with vestibular symptom. Methods A retrospective review were given to 47 cases（48 ears） of patients with sudden deafness accompanied vestibular symptom who were admitted into the ENT department of General Hospital of Chinese PLA from January 2002 to May 2007. Results 25 patients （26 ears） were female between 15 and 64 years, averaged 45.7 in age, while 22 patients （22 ears） were male, ranging from 14 to 57 years old, averaged at 42. 3. 46 patients （97.9%） had the unilateral onset while only one （2. 1%） had bilateral onset. 23 ears （47.9%） were affected in the left ear and 25 ears （52.1%） in the right. 6 ears（12.5%） had middle--heavy deafness,22 ears （45.8%） had heavy deafness, and 20 ears （41.7 % ） had the extremely deafness. Type of audiogram： 5 ears （ 10.4 % ） had low-tone type, 10 ears （20. 8% ） flat-type, and 33 ears （68.8 % ） high tone type. After one course of treatment, 3 ears were healed（6.3%）, 5 ears had excellence effect （10.4% ）, 11 ears were effective（22.9 % ）, and 29 （60.4% ） ears had no effect. Conclusion The patients with vestibular symptom were found to have severe hearing loss. Usually the treatment was not effective and remained to be further studied.
出处
《听力学及言语疾病杂志》
CAS
CSCD
2008年第4期292-294,共3页
Journal of Audiology and Speech Pathology
关键词
耳聋
突发性
前庭
眩晕
Desfness
Sudden
Vestibule
Vertigo
