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甘油试验后瞬态诱发耳声发射在感音神经性听力损失诊断中的临床应用

Clinical application of transiently evoked otoacoustic emissions after glycerol administration for diagnosis of sensorineural hearing loss.

作者信息

Inoue Y, Kanzaki J, O-Uchi T, Ogawa K, Ogata A, Yoshihara S, Satoh Y

机构信息

Department of Otolaryngology, School of Medicine, Keio University, Tokyo, Japan.

出版信息

Auris Nasus Larynx. 1997 Apr;24(2):143-9. doi: 10.1016/S0385-8146(97)00048-5.

DOI:10.1016/S0385-8146(97)00048-5
PMID:9134136
Abstract

Pure-tone audiometry and transiently evoked otoacoustic emission (TEOAE) measurements were made before and after glycerol administration in the ears of sensorineural hearing loss with three different clinical entities, i.e. Meniere's disease, cochlear Meniere's disease and unilateral sensorineural hearing loss of unknown cause without hearing fluctuation (SNHLWF). TEOAE was evoked after glycerol administration in several ears of Meniere's disease and cochlear Meniere's disease, in which it was not evoked before glycerol administration. Especially in patients with cochlear Meniere's disease, TEOAE was altered without an accompanying significant change in mean hearing level. The change in TEOAE after glycerol administration indicates that the active motile property of outer hair cells may be affected by endolymphatic hydrops.

摘要

在患有三种不同临床病症的感音神经性听力损失患者耳中,即在梅尼埃病、耳蜗型梅尼埃病和无听力波动的不明原因单侧感音神经性听力损失(SNHLWF)患者中,在甘油给药前后进行了纯音听力测定和瞬态诱发耳声发射(TEOAE)测量。在梅尼埃病和耳蜗型梅尼埃病的几只耳朵中,甘油给药后诱发了TEOAE,而在甘油给药前未诱发。特别是在耳蜗型梅尼埃病患者中,TEOAE发生了改变,而平均听力水平没有伴随显著变化。甘油给药后TEOAE的变化表明,外毛细胞的主动运动特性可能受到内淋巴积水的影响。

相似文献

1
Clinical application of transiently evoked otoacoustic emissions after glycerol administration for diagnosis of sensorineural hearing loss.甘油试验后瞬态诱发耳声发射在感音神经性听力损失诊断中的临床应用
Auris Nasus Larynx. 1997 Apr;24(2):143-9. doi: 10.1016/S0385-8146(97)00048-5.
2
Distortion-product otoacoustic emissions and cochlear microphonics: relationships in patients with and without endolymphatic hydrops.畸变产物耳声发射与耳蜗微音电位:内淋巴积水患者与非内淋巴积水患者的关系
Laryngoscope. 2001 Jun;111(6):946-54. doi: 10.1097/00005537-200106000-00004.
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Spontaneous otoacoustic emissions in humans with endolymphatic hydrops.内淋巴积水患者的自发性耳声发射
Laryngoscope. 2001 Jan;111(1):96-101. doi: 10.1097/00005537-200101000-00017.
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Distortion-product otoacoustic emissions and glycerol testing in endolymphatic hydrops.内淋巴积水的畸变产物耳声发射及甘油试验
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Cochlear microphonics in Ménière's disease.梅尼埃病中的耳蜗微音电位
Am J Otol. 1997 Jan;18(1):58-66.
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Changes in input/output function of distortion product otoacoustic emissions during the glycerol test in Ménière's disease.梅尼埃病患者甘油试验期间畸变产物耳声发射输入/输出功能的变化
Acta Otolaryngol Suppl. 2004 Oct(554):26-9. doi: 10.1080/03655230410018426.
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[Diagnosis of endolymphatic hydrops].[内淋巴积水的诊断]
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[Diagnostic significance of transiently evoked otoacoustic emissions in meniere's disease].[瞬态诱发耳声发射在梅尼埃病中的诊断意义]
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 1999 Oct;13(10):435-7.
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[Changes in otoacoustic emission during the glycerol test in the ears of patients with Meniere's disease].[梅尼埃病患者耳部甘油试验期间耳声发射的变化]
Nihon Jibiinkoka Gakkai Kaiho. 2001 Jun;104(6):682-93. doi: 10.3950/jibiinkoka.104.682.
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Effects of glycerol intake and body tilt on otoacoustic emissions reflect labyrinthine pressure changes in Menière's disease.甘油摄入和体位倾斜对耳声发射的影响反映了梅尼埃病中的迷路压力变化。
Hear Res. 2009 Apr;250(1-2):38-45. doi: 10.1016/j.heares.2009.01.008. Epub 2009 Feb 1.

引用本文的文献

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Med Sci Monit. 2017 Dec 28;23:6144-6149. doi: 10.12659/msm.905166.
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Dynamics of pure tone audiometry and DPOAE changes induced by glycerol in Meniere's disease.甘油诱发梅尼埃病纯音测听和耳声发射改变的动力学。
Eur Arch Otorhinolaryngol. 2013 May;270(5):1751-6. doi: 10.1007/s00405-012-2246-6. Epub 2012 Nov 16.