中华耳科学杂志2016，Vol.14Issue(1)：49-52,4.DOI:10.3969/j.issn.1672-2922.2016.01.010
急性低频区感音神经性听力损失临床特征分析
Clinical characteristics of acute low-tone sensorineural hearing loss
袁佛良 1魏凡钦 2肖志文 2刘天润 2张帅 2张官萍2
作者信息
- 1. 广东省深圳市光明新区人民医院
- 2. 中山大学附属第六医院
- 折叠
摘要
Abstract
Objective To report clinical features of acute low-tone sensorineural hearing loss (ALHL) as well as atypi-cal cases in an attempt to understand the pathogeneses and lower the rate of misdiagnosis. Methods Clinical data and fea-tures of 58 patients (59 ears) with ALHL who were diagnosed and treated in the Department of Otolaryngology-Head and Neck Surgery of the Sixth Affiliated Hospital of Sun Yat-sen University from August 2009 to July 2014 were retrospectively reviewed. Data from patients with age-related high-frequency hearing loss or chronic high-frequency hearing loss from oth-er causes were also reviewed. Results The age of ALHL patients ranged from 16 to 66 years (67.24% between 20 to 45 years);with a male to female ratio of 1:2.05. Single ear was involved in most patients (98.28%). The rate of complete recov-ery was 71.19%and the total effective rate was 93.22%. There were 4 recurrences during the 3-36 months follow up. Con-clusions ALHL seems to more commonly affect single ear in middle-aged females. Some ALHL patients may not notice hearing loss, but only complain of low-pitched tinnitus and ear blockage or fullness feelings. In order to reduce the rate of misdiagnosis, differentials should include ALHL for patients with age-related high-frequency hearing loss and patients with previous high-frequency hearing loss. ALHL generally carries a good prognosis and a self-limiting tendency, although there may also be the possibility of recurrence. Careful follow-up is therefore important.关键词
急性/低频/感音神经性听力损失/临床特征/听力学Key words
Acute/Low-tone/Sensorineural Hearing Loss/Clinical Features/Audiology分类
医药卫生引用本文复制引用
袁佛良,魏凡钦,肖志文,刘天润,张帅,张官萍..急性低频区感音神经性听力损失临床特征分析[J].中华耳科学杂志,2016,14(1):49-52,4.
