[儿童单侧耳聋的检测与病因学研究]
[The study of detection and etiology of unilateral deafness in children].
作者信息
Mei L, Chen X P, Yang J
机构信息
Hearing and Vertigo Center, Xinhua Hospital, Medical School of Shanghai Jiaotong University, Shanghai, 200092, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Aug;32(16):1252-1254. doi: 10.13201/j.issn.1001-1781.2018.16.010.
To explore the detection approach and aetiology of single-side deafness(SSD) in children and provide evidence for diagnoses and treatment. A retrospective study was performed. Medical history and radiological data of children with unilateral deafness were analyzed. The mean age at diagnosis was 6 years old. The mean age at diagnosis was 7.7 month because of failure of universal newborn hearing screening. Inner ear malformations were identified in 80.6% of cases. Cochlear nerve deficiency(CND) was observed in almost 77.8% of our cases, accounts for 96.6% in children with inner ear malformations. The children with SSD could be early detected by UNHS. CND is the main aetiology for SSD. MRI should be the first image choice when SSD children was diagnosed.
探讨儿童单侧耳聋（SSD）的检测方法及病因，为诊断和治疗提供依据。进行了一项回顾性研究。分析了单侧耳聋儿童的病史和影像学资料。诊断时的平均年龄为6岁。因新生儿听力普遍筛查未通过而诊断的平均年龄为7.7个月。80.6%的病例发现内耳畸形。在我们的病例中，近77.8%观察到蜗神经缺如（CND），在内耳畸形儿童中占96.6%。SSD儿童可通过新生儿听力普遍筛查早期发现。CND是SSD的主要病因。SSD儿童诊断时，MRI应作为首选影像学检查。
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