Jin X M, Guo Y Q, Huangfu M S
Department of Oto-Rhino-Laryngology, Ren Ji Hospital, Shanghai, China.
Acta Otolaryngol. 1990 Nov-Dec;110(5-6):334-41. doi: 10.3109/00016489009107452.
A reliable animal model of acute type of endolymphatic hydrops was made with injection of artificial endolymph into the cochlear duct. In 12 animals without Reissner's membrane rupture, the endolymphatic potentials (EP) were kept normal after injection of artificial endolymph, but their electrocochleography (ECoG) showed as: a rise of summating potentials (SP) amplitude, a decrease of action potentials (AP) amplitude, an increase of SP/AP ratio, as well as a delay of N1 latency. In 7 animals with membrane rupture, the EP significantly decreased. ECoG showed as: a decrease of hearing function in all test frequencies, a distortion of SP-AP wave and even a loss of AP. Based on the results of our experiment it can be assumed that the dominant -SP may be seen in the acute stage of endolymphatic hydrops without a rupture of Reissner's membrane. Therefore, the dominant -SP may only be of value in the clinical diagnosis during episodic vertigo and fluctuating hearing loss of Meniere's disease.
通过向蜗管内注射人工内淋巴液制作出可靠的急性内淋巴积水动物模型。在12只Reissner膜未破裂的动物中,注射人工内淋巴液后内淋巴电位(EP)保持正常,但它们的耳蜗电图(ECoG)表现为:总和电位(SP)幅度升高、动作电位(AP)幅度降低、SP/AP比值增加以及N1潜伏期延迟。在7只膜破裂的动物中,EP显著降低。ECoG表现为:所有测试频率的听力功能下降、SP-AP波畸变甚至AP消失。根据我们的实验结果,可以推测在Reissner膜未破裂的内淋巴积水急性期可能出现优势-SP。因此,优势-SP可能仅在梅尼埃病发作性眩晕和波动性听力损失的临床诊断中有价值。