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[2747例感音神经性听力损失患者内耳畸形分类研究]

[Study on 2,747 cases of inner ear malformation for its classification in patient with sensorineural hearing loss].

作者信息

Sun Baochun, Dai Pu, Zhou Chengyong

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Jan;29(1):45-7.

Abstract

OBJECTIVE

Analyze the data of the patients with sensorineural hearing loss in China and study the classification and incidence of inner ear malformationsby the high-resolution computed tomography.

METHOD

The investigation took a retrospective review of CT findings relating to the 2,747 cases of outpatients. The inner ear malformations diagnosed by CT were classified according to the methods proposed by Sennaroglu.

RESULT

(1)843 cases of inner ear malformations were found in 2747 cases of patients with sensorineural hearing loss by CT examination. The incidence of inner ear malformation was 30.69%(843/2747). (2) The epidemiological information of 843 cases of inner ear malformation according to Sennaroglu's classification was as follows: cochlea was 52. 31%(441/843), simple vestibular aqueduct was 40.33%(340/843), simple vestibular/ semicircular canal/internal auditory canal were 7. 35%(62/843) of the group. (3) 441 cases of cochlea malformation were consisted of these types of malformation: Michel deformity was 1.13% (5/441), cochlear aplasia was 1. 81% (8/441), common cavity deformity was 3. 17% (14/441), incomplete partition type I was 8. 62% (38/441), cochlea hypoplasia was 9. 07% (40/441) and incomplete partition type II was 76. 19% (336/441) of the group.

CONCLUSION

The results suggested that 30. 69% cases of inner ear malformation can be found in patients with sensorineural hearing loss, which is more higher than reported by the high-resolution computed tomography. Sennaroglu's classification is instructively significant in investigating the status of inner ear malformations.

摘要

目的

分析我国感音神经性听力损失患者的数据,通过高分辨率计算机断层扫描研究内耳畸形的分类及发病率。

方法

本研究对2747例门诊患者的CT检查结果进行回顾性分析。根据Sennaroglu提出的方法对CT诊断的内耳畸形进行分类。

结果

(1)2747例感音神经性听力损失患者经CT检查发现843例内耳畸形。内耳畸形的发病率为30.69%(843/2747)。(2)843例内耳畸形按Sennaroglu分类的流行病学信息如下:耳蜗畸形占52.31%(441/843),单纯性前庭导水管扩大占40.33%(340/843),单纯性前庭/半规管/内耳道畸形占7.35%(62/843)。(3)441例耳蜗畸形包括以下类型:Michel畸形占1.13%(5/441),耳蜗发育不全占1.81%(8/441),共同腔畸形占3.17%(14/441),不完全分隔I型占8.62%(38/441),耳蜗发育不良占9.07%(40/441),不完全分隔II型占76.19%(336/441)。

结论

结果表明,感音神经性听力损失患者中30.69%存在内耳畸形,高于高分辨率计算机断层扫描报道的比例。Sennaroglu分类对于研究内耳畸形状况具有指导意义。

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