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单侧耳蜗性聋患者对侧耳耳声发射的表现

The appearence of contralateral otoacoustic emissions with unilateral cochlear hearing loss

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【作者】 李擎天曾祥丽钟乃川

【Author】 LI Qingtian 1 ZENG Xiangli 2 ZHONG Naichuan 1 ( 1 Department of Otolaryngology,Union Hospital,Tongji Medical College, Huazhong University of Science and Technology,Wuhan 430022; 2 Department of Otolaryngology,Central Hospital,Huangshi)

【机构】 华中科技大学同济医学院附属协和医院耳鼻咽喉科教研室湖北省黄石市中心医院耳鼻咽喉科华中科技大学同济医学院附属协和医院耳鼻咽喉科教研室 武汉430022武汉430022

【摘要】 目的 :探讨致聋因素在致单耳发病时对对侧耳潜在的影响。方法 :利用OtodynamicILO96耳声发射分析仪 ,对 35例单侧耳蜗性聋患者 (分为 5组 :发病 2个月以内的突发性聋 9例为S1组 ,发病 1年以上的突发性聋 6例为S2 组 ,梅尼埃病 13例分为M1、M2 组 ,不明机理的耳蜗性聋 7例为UNK组 )对侧耳瞬态诱发性耳声发射 (TEOAE)的反应幅值、反应重复率及频带的重复率 ,畸变产物耳声发射 (DPOAE)曲线特点及 1~ 5kHz反应幅值进行分析比较。结果 :S1组、M2 组TEOAE的反应幅值、反应重复性、频带重复性明显低于正常值 ,DPOAE幅值明显降低 ;S2 组、M1组、UNK组TEOAE和DPOAE正常。结论 :在不同致聋因素中 ,有的对单耳产生损伤作用 ,有的对双耳产生损伤作用。

【Abstract】 Objective:To investigate the latent influence on the contralateral ear when one ear was involves by different deaf elements. Method:TEOAE and DPOAE were recorded from contralateral ears with unilateral cochlear hearing loss,who were divided into 5 groups, group S 1,sudden deafness last within two months (9 ears),group S 2, sudden deafness last over one year or so(6 ears),Meniere’s desease (13 ears M 1.M 2 )cochlear hearing loss of unknown etiology(7 ear,UNK),using ILO-96 analyzer system.Result:Response amplitude,wave reproducibility,band reproducibility of TEOAE in S 1,M 2 were significantly lower than normal values. Amplitude of DPOAE in S 1,M 2 were significantly lower than normal values. All record were the same with normal in S 2, M 1,UNK.Conclusion:In all sorts of deaf elements,some have an effect on binaural ears,the others have an effect on unilateral ear.

【关键词】 诱发性耳声发射
【Key words】 DeafnessEvoked otoaconstic emissions
  • 【文献出处】 临床耳鼻咽喉科杂志 ,Journal of Clinical Otorhinolaryngology , 编辑部邮箱 ,2002年04期
  • 【分类号】R764.43
  • 【被引频次】7
  • 【下载频次】74
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