经皮骨锚式助听器植入后助听效果分析

叶婷; 郭翠翠; 傅雪雯; 石静华; 夏寅

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经皮骨锚式助听器植入后助听效果分析

临床研究 | 更新时间：2026-10-28

- 经皮骨锚式助听器植入后助听效果分析
- Clinical Application of the Transcutaneous Bone-Anchored Hearing Aid-Baha Attract Implantation
- 中国听力语言康复科学杂志 2022年20卷第3期页码：183-186
- 作者机构：
  
  1. 首都医科大学附属北京天坛医院耳鼻咽喉头颈外科
  2. 菏泽市立医院耳鼻咽喉头颈外科
  3. 郑州大学第一附属医院耳鼻咽喉头颈外科
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R764.5
- 纸质出版：2022
- 稿件说明：
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叶婷, 郭翠翠, 傅雪雯, 等. 经皮骨锚式助听器植入后助听效果分析[J]. 中国听力语言康复科学杂志, 2022,20(3):183-186.

叶婷, 郭翠翠, 傅雪雯, et al. Clinical Application of the Transcutaneous Bone-Anchored Hearing Aid-Baha Attract Implantation[J]. 2022, 20(3): 183-186.
叶婷, 郭翠翠, 傅雪雯, 等. 经皮骨锚式助听器植入后助听效果分析[J]. 中国听力语言康复科学杂志, 2022,20(3):183-186. DOI：

叶婷, 郭翠翠, 傅雪雯, et al. Clinical Application of the Transcutaneous Bone-Anchored Hearing Aid-Baha Attract Implantation[J]. 2022, 20(3): 183-186. DOI：

摘要

目的评估经皮骨锚式助听器（transcutaneous bone-anchored hearing aid

tBCHD）Baha Attract对传导性或混合性聋患者的助听效果及安全性。方法采用前瞻性自身对照研究方法收集13例行BahaAttract植入术的传导性或混合性聋患者临床资料，其中先天性外中耳畸形8例，慢性化脓性中耳炎或中耳胆脂瘤术后4例，慢性中耳炎1例。术前进行纯音测听、言语识别率测试、颞骨CT等评估，术后1个月开机时测试助听后的声场纯音听阈和言语识别率，同时比较术前、术后3个月及1年的言语、空间和音质听觉量表(the speech

spatial

and qualities of hearing scale

SSQ)和健康效用指数量表3(health utilities index mark 3

HUI3)。结果术后随访42～49个月，发生皮下血肿1例，植入体周围血清肿2例，均治愈。13例患者术前平均气导听阈为66.6±8.0 dB HL，术后声场下助听听阈为24.0±7.1dBHL；手术前后安静环境下单音节言语识别率分别为24.2%±20.1%、87.7%±7.3%，双音节言语识别率分别为38.9%±24.1%、92.3%±4.8%，手术前后噪声下言语识别率分别为28.9%±22.0%、85.0%±14.4%，与术前比较均有显著差异。SSQ量表结果显示BahaAttract术后患者在言语识别、声源定位及音质评价3个维度得分均明显提高。HUI3量表结果示Baha Attract术后患者在听力、言语、情绪、疼痛方面显著改善，总体健康状态评分显著提高。结论 Baha Attract是一种安全、有效的人工听觉植入装置，可显著提高传导性或混合性聋患者的听力并改善其生活质量，配戴舒适，术后并发症较少。

Abstract

Objective To evaluate the audiological and surgical outcomes of Baha Attract implantation in patients with conductive or mixed hearing loss. Methods It was a prospective study with self-control. 13 patients with conductive or mixed hearing loss treated by Baha Attract implantation were enrolled in this study

including 8 cases of congenital ear malformation

4 cases of chronic suppurative otitis media or middle ear cholesteatoma after operation

and 1 case of chronic otitis media. The pure tone audiometry（PTA）

speech audiometry and temporal CT were evaluated before surgery. The aided PTA and speech discrimination score（SDS） in sound field were collected 1 month after surgery. The Speech

Spatial

and Qualities of Hearing scale（SSQ） and Health Utilities Index Mark 3（HUI 3） were collected before surgery

3 months and 1 year after surgery. Results The postoperative follow up period was 42 to 49 months. 1 patient had peri-implant hematoma

2 patients had peri-implant seroma

and all of them were cured. The average preoperative PTA measurements was 66.6±8.0dB HL

and the postoperative aided PTA in sound field was 24.0±7.1 dB HL. The mean SDS of monosyllabic in quiet were 24.2%±20.1%unaided and 87.7%±7.3% with Baha Attract implantation; the mean SDS of disyllabic in quiet was 38.9%±24.1% unaided and 92.3%±4.8%with Baha Attract implantation; the mean SDS in noise was 28.9%±22.0% unaided and 85.0%±14.4% with Baha Attract implantation. All these findings were statistically significant（P<0.05）. Both SSQ and HUI 3 questionnaires showed good patients’ satisfaction. Conclusion Baha Attract is safe and effective in patients with conductive or mixed hearing loss.

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Keywords

references

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