人工耳蜗术中蜗内ECochG监测技术

刘佳浩; 梁茂金; 郑亿庆; 王雅静

doi:10.3969/j.issn.1672-4933.2026.02.009

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人工耳蜗术中蜗内ECochG监测技术

临床研究 | 更新时间：2026-07-30

- 人工耳蜗术中蜗内ECochG监测技术
- Intracochlear Electrocochleogram Monitoring Technology in Cochlear Implant Surgery
- 中国听力语言康复科学杂志 2026年24卷第2期页码：158-162
- 作者机构：
  
  中山大学孙逸仙纪念医院耳鼻咽喉头颈外科广州 510120
- 作者简介：
  
  刘佳浩硕士助理研究员；研究方向：临床听力学
  王雅静，E-mail：wangyj95@mail.sysu.edu.cn
- 基金信息：
  
  国家自然科学基金项目“语前聋青少年人工耳蜗术后言语发育特点及整合加工机制研究”(82101227);广州市科技基金“元音空间面积在聋儿人工耳蜗术后的发展及在康复中的应用”(2023A04J2091);国家自然科学基金项目“耳蜗术后患儿声源定位训练的作用及其中枢机制”(81900954)
- DOI：10.3969/j.issn.1672-4933.2026.02.009
  中图分类号： R764.35
- 收稿：2025-07-07，
  
  网络首发：2026-03-17，
  
  纸质出版：2026-03-15
- 稿件说明：
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刘佳浩,梁茂金,郑亿庆等.人工耳蜗术中蜗内ECochG监测技术[J].中国听力语言康复科学杂志,2026,24(02):158-162.

LIU Jia-hao,LIANG Mao-jin,ZHENG Yi-qing,et al.Intracochlear Electrocochleogram Monitoring Technology in Cochlear Implant Surgery[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(02):158-162.
刘佳浩,梁茂金,郑亿庆等.人工耳蜗术中蜗内ECochG监测技术[J].中国听力语言康复科学杂志,2026,24(02):158-162. DOI： 10.3969/j.issn.1672-4933.2026.02.009.

LIU Jia-hao,LIANG Mao-jin,ZHENG Yi-qing,et al.Intracochlear Electrocochleogram Monitoring Technology in Cochlear Implant Surgery[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(02):158-162. DOI： 10.3969/j.issn.1672-4933.2026.02.009.

摘要

目的

探讨人工耳蜗植入术中蜗内耳蜗电图（electrocochleography， ECochG）实时监测技术的标准化操作流程。

方法

在常规人工耳蜗植入手术中，建立术中蜗内ECochG实时监测标准化流程，包括设备连接与校准、声刺激参数设置等，通过主刀医生与听力师协同操作，实时反馈术中动态监测结果，指导调整电极植入角度与速度，电极植入后行多通道ECochG评估。

结果

术中ECochG监测可实时反映基底膜毛细胞功能状态，是保护残余听力、提高人工耳蜗植入精准性的关键手段。

结论

术中蜗内ECochG监测技术建立标准化操作流程可减少误差风险，为临床广泛推广提供参考。

Abstract

Objective

To establish a standardized protocol for real-time intracochlear ECochG monitoring during cochlear implantation surgery.

Methods

During routine MED-EL cochlear implantation surgeries

a standardized real-time intracochlear ECochG monitoring protocol was established

including equipment connection and calibration

acoustic stimulation parameter settings

etc. Through collaborative operation between the surgeon and audiologist

real-time ECochG feedback guided intraoperative adjustments of electrode insertion trajectory and insertion rate. Post-electrode insertion and multi-channel ECochG evaluation were performed.

Results

Intraoperative ECochG monitoring can reflect the functional status of the basilar membrane hair cells in real time

serving as a critical measure for preserving residual hearing and improving the precision of cochlear implantation.

Conclusion

Establishing a standardized operational procedure for intracochlear ECochG monitoring can reduce the risk of errors and provide a reference for broader clinical adoption.

关键词

Keywords

references

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