Yu G N, Wang H, Shi H B
Department of Otorhinolaryngology Head and Neck Surgery,Shanghai Jiaotong University Affiliated Sixth People's Hospital,Shanghai,200233,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Jul 20;30(14):1121-1123. doi: 10.13201/j.issn.1001-1781.2016.14.007.
We aimed to investigate the prognosis and clinical characteristics of patients with acute low-tone sensorineural hearing loss(ALHL) and the patients with sudden low-tone loss who were not classified in the audiometric definition ALHL of(non-ALHL).Two hundred and seven patients diagnosed at the university hospital with idiopathic sudden low-tone loss of sensorineural hearing loss including 48 ALHL and 159 non- ALHL from Jan 2010 to Dec 2015.The patients were followed up in the long term with three months to 5 years.The rates of recurrence and/or progression to Ménière's disease for patients with ALHL were compared with those for non-ALHL patients.The recurrence rate was 26.4% for non-ALHL and 16.7% for ALHL.There was statistically significant difference between the two patient groups.In ALHL patients,8.8% patients progressed to Ménière's disease,1.9% was diagnosised with acoustic neuroma and 5.7% with vestibular migraine.In non-ALHL patients,4.2% patients progressed to Ménière's disease.In clinical practice,sudden low-tone loss other than ALHL shows a potential for recurrence and progressed to Ménière's disease.
我们旨在调查急性低频感音神经性听力损失（ALHL）患者以及未被听力测定定义为ALHL的突发性低频听力损失患者（非ALHL）的预后和临床特征。2010年1月至2015年12月期间，大学医院诊断出207例特发性突发性低频感音神经性听力损失患者，其中包括48例ALHL患者和159例非ALHL患者。对这些患者进行了为期3个月至5年的长期随访。比较了ALHL患者与非ALHL患者复发和/或进展为梅尼埃病的发生率。非ALHL患者的复发率为26.4%，ALHL患者为16.7%。两组患者之间存在统计学上的显著差异。在ALHL患者中，8.8%的患者进展为梅尼埃病，1.9%被诊断为听神经瘤，5.7%被诊断为前庭性偏头痛。在非ALHL患者中，4.2%的患者进展为梅尼埃病。在临床实践中，除ALHL外的突发性低频听力损失有复发并进展为梅尼埃病的可能性。
