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耳蜗电图与内耳功能障碍症状

Electrocochleography and symptoms of inner ear dysfunction.

作者信息

Ferraro J A, Arenberg I K, Hassanein R S

出版信息

Arch Otolaryngol. 1985 Feb;111(2):71-4. doi: 10.1001/archotol.1985.00800040035001.

DOI:10.1001/archotol.1985.00800040035001
PMID:3977730
Abstract

We examined the relationship between electrocochleographic test results and symptoms associated with Meniere's disease-endolymphatic hydrops (MD-ELH). Extratympanic electrocochleography (ECochG) was performed on 55 consecutive patients (110 ears) suspected of having MD-ELH, and the results compared with the clinical symptoms of the patients on the day of recording. Referring symptoms included sensorineural hearing loss, aural fullness or pressure, tinnitus, vertigo, and all combinations of these four. There was a statistically significant difference between ECochG findings when symptoms were absent compared with when one or more symptoms were present. Furthermore, the presence of hearing loss combined with aural fullness or pressure was the strongest predictor of a positive ECochG, as characterized by an enlarged summating potential action potential amplitude ratio.

摘要

我们研究了耳蜗电图测试结果与梅尼埃病 - 内淋巴积水(MD - ELH)相关症状之间的关系。对55例连续怀疑患有MD - ELH的患者(110耳)进行了鼓室外耳蜗电图(ECochG)检查,并将结果与记录当天患者的临床症状进行比较。相关症状包括感音神经性听力损失、耳闷或耳压、耳鸣、眩晕以及这四种症状的所有组合。与存在一种或多种症状时相比,无症状时的ECochG结果存在统计学显著差异。此外,听力损失合并耳闷或耳压是ECochG阳性的最强预测指标,其特征为总和电位与动作电位幅度比增大。

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