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[总和电位与外淋巴瘘之间的关系]

[Relationship between summating potentials and perilymphatic fistula].

作者信息

Cheng J, He L, Gu R

机构信息

Daping Hospital, Third Military Medical College, Chongqing.

出版信息

Zhonghua Er Bi Yan Hou Ke Za Zhi. 1994;29(5):278-81.

PMID:7718291
Abstract

Serial electrocochleogram (ECochG) recordings were obtained within 24 hours from 40 guinea pigs with experimentally induced PLF, and the cochlears of 30 guinea pigs (60 ears) were histopathologically observed under light microscope. -SP occurred in 100% experimented ears within 1-3 hours after PLF, but distention of Ressner's membrane was found only in 30% ones. CAP thresholds and N1 latencies of 10 animals were improved, accompanying disappearance of -SP in 6 of the 10 animals in 24 hours after PLF. It is presumed that -SP is not a specifically electrophysiologic indicator of ELH, and that the generation of -SP may chiefly result from reversible damage of cochlear hair cells. The mechanical factor of basilar membrane displacement can hardly be considered as a main cause of SP abnormality. The mechanism of the ELH following PLF was also discussed.

摘要

对40只实验性诱导产生PLF的豚鼠在24小时内进行了系列电耳蜗图(ECochG)记录,并对30只豚鼠(60只耳)的耳蜗进行了光镜下组织病理学观察。-SP在PLF后1 - 3小时内出现在100%的实验耳中,但仅在30%的耳中发现了Reissner膜扩张。10只动物的CAP阈值和N1潜伏期得到改善,PLF后24小时内这10只动物中有6只的-SP消失。推测-SP不是ELH的特异性电生理指标,-SP的产生可能主要源于耳蜗毛细胞的可逆性损伤。基底膜位移的机械因素很难被认为是SP异常的主要原因。还讨论了PLF后ELH的机制。

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