听觉诱发电位在人工耳蜗植入全流程中的应用

刘军

doi:10.3969/j.issn.1672-4933.2026.01.001

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听觉诱发电位在人工耳蜗植入全流程中的应用

专家笔谈 | 更新时间：2026-02-03

- 听觉诱发电位在人工耳蜗植入全流程中的应用
- Application of Auditory Evoked Potential to The Whole Process of Cochlear Implantation
- 中国听力语言康复科学杂志 2026年24卷第1期页码：1-6
- 作者机构：
  
  1.解放军总医院第六医学中心耳鼻咽喉头颈外科医学部/听觉与平衡觉国家重点实验室/国家耳鼻咽喉疾病临床医学研究中心/聋病教育部重点实验室/聋病防治北京市重点实验室北京 100048
  2.解放军总医院第七医学中心耳鼻咽喉头颈外科北京 100700
- 作者简介：
  
  [ "刘军，解放军总医院国家耳鼻咽喉疾病临床医学研究中心主任医师、解放军总医院耳鼻咽喉头颈外科医学部派驻第七医学中心耳鼻咽喉头颈外科主任。医学博士、赴美博士后、研究生导师、耳显微外科、耳神经外科和人工听觉植入知名专家。中国听力医学发展基金会科普专家委员会副主委、中华老年医学会耳科分会常委、医促会耳鼻咽喉头颈外科分会委员、医促会听觉植入分会委员。《中国听力语言康复科学杂志》副总编，《医学参考报》耳鼻喉科频道副总编，《中华耳科学杂志》《听力学及言语疾病杂志》《中国耳鼻咽喉头颈外科颅底外科杂志》等杂志编委，《中华耳鼻咽喉头颈外科杂志》《临床耳鼻咽喉头颈外科杂志》等杂志审稿专家。发表论文90余篇，主译或参编专著11部，主持或参与国家、省部级课题12项。" ]
- 基金信息：
  
  北京市科技计划首都市民健康项目培育基金(Z131100004013019);解放军总医院临床科研扶持基金课题(2012FC-TSYS-4017);解放军总医院科技创新基金项目(06ZY13)
- DOI：10.3969/j.issn.1672-4933.2026.01.001
  中图分类号： R764.35
- 收稿：2025-12-10，
  
  纸质出版：2026-01-15
- 稿件说明：
移动端阅览
刘军.听觉诱发电位在人工耳蜗植入全流程中的应用[J].中国听力语言康复科学杂志,2026,24(01):1-6.

LIU Jun.Application of Auditory Evoked Potential to The Whole Process of Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(01):1-6.
刘军.听觉诱发电位在人工耳蜗植入全流程中的应用[J].中国听力语言康复科学杂志,2026,24(01):1-6. DOI： 10.3969/j.issn.1672-4933.2026.01.001.

LIU Jun.Application of Auditory Evoked Potential to The Whole Process of Cochlear Implantation[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(01):1-6. DOI： 10.3969/j.issn.1672-4933.2026.01.001.

摘要

人工耳蜗植入（CI）是重度-极重度感音神经性聋且助听器配戴效果不佳患者有效的干预方法之一，听觉诱发电位（auditory evoked potential， AEP）贯穿CI术前评估、术中监测、术后疗效评估与康复管理的全流程。术前通过耳声发射（otoacoustic emission， OAE）、耳蜗电图（electrocochleography， ECochG）、听性脑干反应（auditory brainstem response， ABR）、分频听性脑干反应（tone-burst auditory brainstem response， TB-ABR）、听觉稳态反应（auditory steady-state evoked potential， ASSR）和40 Hz听觉相关电位（40 Hz auditory event-related potentials， 40 Hz AERP）等检测，评估听力损失程度与性质、病变部位及听觉通路完整性与发育成熟度。术中依托ECochG、电诱发复合动作电位（electrically compound action potential， ECAP）、电诱发听性脑干反应（electrically evoked auditory brainstem response， EABR）和电诱发镫骨肌反射（electrically evoked stapedius reflex， ESR）的实时反馈，实现电极精准植入、残余听力保护与预测术后效果。术后通过ECAP、EABR和皮层听觉诱发电位（cortical auditory evoked potentials， CAEP）共同构建客观调机与疗效评估体系。AEP结合影像学、效果问卷和行为测听的多模态评估策略，可实现CI个体化精准诊疗。

Abstract

Cochlear implantation (CI) are one of the most effective interventions for patients with severe-to-profound sensorineural hearing loss and insufficient hearing aid benefit. Auditory evoked potential (AEP) underpins the whole CI workflow—preoperative assessment

intraoperative monitoring

postoperative efficacy evaluation

and rehabilitation management. Preoperatively

acoustic AEPs

including otoacoustic emission (OAE)

electrocochleography (ECochG)

auditory brainstem response (ABR)

tone-burst ABR (TB-ABR)

auditory steady-state response (ASSR)

and 40Hz auditory event-related potential (40Hz AERP)

are used to assess hearing loss severity/ nature

lesion location

as well as the integrity and maturity of the auditory pathway. Intraoperatively

real-time feedbacks from ECochG

electrically evoked compound action potential (ECAP)

electrically evoked ABR (EABR)

and electrically evoked stapedius reflex (ESR) facilitate precise electrode insertion

residual hearing preservation

and postoperative outcome prediction. Postoperatively

ECAP

EABR

and cortical auditory evoked potentials (CAEP) form an objective framework for CI fitting and efficacy evaluation. A multimodal assessment strategy centered on AEPs

integrated with imaging

patient-reported outcomes

and behavioral audiometry

enables individualized precision diagnosis and treatment for CI patients.

关键词

Keywords

references

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