中国听力语言康复科学杂志

2020, v.18;No.99(02) 117-121

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人工耳蜗植入术中和术后常用监测指标
Commonly Used Monitoring Indicators during and after the Surgery in Cochlear Implantation

谢秋迎;马秀岚;
XIE Qiu-Ying;MA Xiu-Lan;

摘要(Abstract):

人工耳蜗植入术已成为治疗重度和极重度感音神经性听力损失的重要手段。术前测量某些电生理学指标可以筛选合适的植入者;术中监测可以及时反映人工耳蜗植入设备的完好性、耳蜗电极序列放置的有效性;术后动态随访监测为术后开机、程序调试及声音感知提供客观依据,具有重要的临床意义和研究价值。本文就目前术中、术后常用监测主观客观指标及其临床意义进行综述。
Cochlear implantation has increasingly become an important method to treat severe and profound sensorineural hearing loss. Preopreatively certain electrophysiological indicators can make it efficient to screen suitable recipients, while intraoperative monitoring can assess the integrity of cochlear implant equipment and the effectiveness of electrode array placement in time. On the other hand postoperative dynamic follow-up of those indicators can serve as objective evidence for switch-on, mapping and sound perception, which has important clinical significance and research value. This article reviews the commonly used subjective and objective indicators as well as their clinical significance in cochlear implantation.

关键词(KeyWords): 人工耳蜗植入;电诱发复合动作电位;电诱发听性脑干反应;电诱发镫骨肌反射;主观行为阈值;最大舒适值
Cochlear implantation;Electrically evoked compound action potential;Electrically evoked auditory brainstem response;Electrically evoked stapedius reflex;Subjective behavior threshold;Maximum comfort level

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作者(Author): 谢秋迎;马秀岚;
XIE Qiu-Ying;MA Xiu-Lan;

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