Yang Z X, Yang J S, Zhang W, Guan X P
Department of Rehabilitation Medicine,Shanxi Provincial People's Hospital,Xi'an,710000,China.
Department of Otolaryngology,Shanxi Provincial People's Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 May 20;30(10):818-820. doi: 10.13201/j.issn.1001-1781.2016.10.015.
To explore the prognosis factors and clinical features of 32 patients with sudden deafness, and further invested the relationship between cervical spondylosis and sudden sensorineural hearing loss.Thirty-two cases with sudden deafness of ENT, Neurology,rehabilitation medicine department in Shanxi Provincial people's Hospital from 2014 to 2015 were collected. The clinical data, radiographic data and disease prognosis were analysed. Thirty-two cases in the cervical four bit tablets vertebral artery type positive rate for: 83.87%, neck vascular ultrasound positive rate for: 55.56%, cervical MRI or MRA shows vertebral artery narrow who positive rate for: 77.42%; three items check the appeared of positive number accounted for total cases number of proportion followed by for: cervical four bit tablets for: 65.96%, neck vascular ultrasound for: 57.45%, cervical MRI or MRA for: 65.96%; three species check integrated check out rate for: 95.74%.Sudden deafness in patients with cervical spondylosis of vertebral artery typedetection rate is very high, description of vertebral-artery-type cervical spondylosis is likely to be one of the factors influencing the prognosis of sudden hearing loss, sudden hearing loss and there is a certain correlation between cervical spondylosis.
探讨32例突发性聋患者的预后因素及临床特征,并进一步探讨颈椎病与突发性感音神经性听力损失之间的关系。收集了2014年至2015年山西省人民医院耳鼻喉科、神经内科、康复医学科的32例突发性聋患者。对其临床资料、影像学资料及疾病预后进行分析。32例患者中颈椎四位片椎动脉型阳性率为:83.87%,颈部血管超声阳性率为:55.56%,颈椎MRI或MRA显示椎动脉狭窄者阳性率为:77.42%;三项检查出现阳性的例数占总例数的比例依次为:颈椎四位片为:65.96%,颈部血管超声为:57.45%,颈椎MRI或MRA为:65.96%;三项检查综合检出率为:95.74%。突发性聋患者中椎动脉型颈椎病的检出率很高,说明椎动脉型颈椎病很可能是影响突发性聋预后的因素之一,突发性聋与颈椎病之间存在一定的相关性。