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听神经瘤患者的脑干听觉诱发电位研究

Study of Brainstem Auditory Evoked Potential in Patients with Acoustic Neuroma
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摘要 【目的】探讨脑干听觉诱发电位(BAEP)在听神经瘤诊断中的应用价值。【方法】对经手术和病理证实资料完整的听神经瘤患者23例行脑干听觉诱发电位检查。【结果]23例患者中听力异常23例(26耳),占100%。其中轻度6耳,中度15耳,重度5耳。BAEP异常21例,占91.3%(21/23)。患侧Ⅰ、Ⅲ、Ⅴ波消失或分化不良17例,占73.90o(17/23);患侧Ⅰ、Ⅲ、Ⅴ波潜伏期延长12例,占52.1%(12/23);对侧异常主要表现为Ⅲ~Ⅴ间期大于Ⅰ~Ⅲ间期17例,占73.9%(17/23)。【结论】脑干听觉诱发电位是一种敏感的检测方法,对听神经瘤的诊断具有重要的临床价值。 [Objective]To explore the value of brainstem auditory evoked potential(BAEP) in patients with acoustic neuroma. [Methods] Twenty three patients with cerebellopontine angle tumor confirmed by operation and pathology performed BAEP. [Results] All 23 cases(26 ears, 100%) had hearing impairment, which 6 ears were mild, and 15 ears were middle, and 5 ears were severe. BAEP showed that 21 cases were abnormal (91.3%), and 17 cases were the disappearance of I , 1H and V wave or undifferentiated(73.9%) in the affected side. Twelve cases were the prolongation of latency period of Ⅰ , Ⅲ 1 and Ⅴ wave(52.1%). The main abnormal findings of the opposite side in 17 cases(73.9%) showed that the Ⅲ-Ⅴ interval was longer than Ⅰ-Ⅲ interval. [Conclusion] BAEP is a sensitive examination method and has important value for diagnosing of the acoustic neuroma.
出处 《医学临床研究》 CAS 2010年第12期2202-2203,共2页 Journal of Clinical Research
关键词 神经瘤 诱发电位 听觉 脑干 neuroma, acoustic evoked potentials, auditory, brain stem
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