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通过电诱发听性脑干反应(FABR)评估存活的听神经——耳蜗外刺激与耳蜗内刺激的比较

[Estimation of surviving auditory nerve by electrically evoked auditory brainstem response (FABR)--comparison between extra-cochlear stimulation and intra-cochlear stimulation].

作者信息

Hatsushika S, Funasaka S

出版信息

Nihon Jibiinkoka Gakkai Kaiho. 1989 Jul;92(7):1005-11. doi: 10.3950/jibiinkoka.92.1005.

Abstract

This study investigated the possibility of using electrically evoked auditory brainstem response (EABR) for predicting surviving spiral ganglion cell populations. EABR recordings were made from six kanamycin induced deaf cats by the round window monopolar stimulation (RW) and the scala tympani bipolar stimulation (ST). On completing the electrical stimulation, each animal was sacrificed and prepared for histological examination. The spiral ganglion cell populations were estimated by classifying them into four groups (0-25%, 25-50%, 50-75%, 75-100%) as a percentage of survival cells under magnification. EABR thresholds and input-output function of amplitude were compared with microscopic findings of surviving spiral ganglion cell populations. The results were as follows: 1) The rate of amplitude growth in response to increased stimulus intensity of electrically evoked potentials from ST was gradual, but that of RW was steep. 2) The vestibular potentials were elicited by RW, and at a lower stimulus intensity the RW waveform began to become distorted by the myogenic potentials. 3) EABR threshold was a poor predictor of surviving spiral ganglion cell populations. 4) There was a correlation between surviving spiral ganglion cell populations and the slope of the input-output functions of ST EABR. However, there was no correlation between that of RW EABR and the slope.

摘要

本研究探讨了使用电诱发听性脑干反应(EABR)预测螺旋神经节细胞存活数量的可能性。通过圆窗单极刺激(RW)和鼓阶双极刺激(ST),对6只卡那霉素致聋猫进行了EABR记录。电刺激结束后,处死每只动物并进行组织学检查。在显微镜下,将螺旋神经节细胞群体分为四组(0 - 25%、25 - 50%、50 - 75%、75 - 100%),以此估计其存活细胞的百分比。将EABR阈值和振幅的输入-输出函数与螺旋神经节细胞存活群体的显微镜检查结果进行了比较。结果如下:1)ST电诱发电位的振幅随刺激强度增加的增长率较为平缓,而RW的则较为陡峭。2)RW可引出前庭电位,且在较低刺激强度下,RW波形开始因肌源性电位而变形。3)EABR阈值对螺旋神经节细胞存活群体的预测效果不佳。4)螺旋神经节细胞存活群体与ST EABR输入-输出函数的斜率之间存在相关性。然而,RW EABR的斜率与螺旋神经节细胞存活群体之间不存在相关性。

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