中国听力语言康复科学杂志2017，Vol.15Issue(1)：76-80,5.DOI:10.3969/j.issn.1672-4933.2017.01.020
海南省人工耳蜗植入捐赠项目术前筛查结果分析
Analysis of Preoperative Screening Results of Cochlear Implantation Donation Project in Hainan Province
摘要
Abstract
Objective To summarize and analyze the results of primary screening and pre-operational screening of recepients of cochlear implantation donation in Hainan province. Analysis of the reasons for preoperative screening failed, to improve preoperative screening method pass rate,improve the utilization ratio of health resources.Methods The subjects are applicants who applied for cochlear implantation under guidance of Hainan deafness rehabilitation center from Jan. 2013 to Jun. 2016. The screening programmes include auditory test (pure tone average, acoustic impedence, distortion product otoacoustic emission (DPOAE), auditory brain stem response (ABR), auditory steady state response (ASSR)), imagingstudies (temporal bone CT, cranial MRI, water imaging of internal acoustic canal), psychiatric and intellectual evaluation, and family economy and rehabilitation qualification evaluation.Results A total of 467 cases were screened, 293 of which passed primary screening, and 174 failed screening, which passed the primary screening for preoperative screening, a total of 293 cases completed, 255 of which passed screening, and 38 of which failed screening (6 cases of cochlear malformation, 3 cases of internal acoustic canal stenosis, 3 cases of temporal lobe white matter disease, 15 cases of over-aged pre-lingual deaf patients without language background, 6 cases without patients' consent, and 5 cases without qualification for rehabilitation). Conclusion The rate for passing primary screening was 62.7%,the rate for passing pre-operational screening was 87%. The pre-operational screening for cochlear implantation should be thorough, because it not only plays key role in clarifying indication and contra-indication for cochlear implantation, preventing surgical complication, and estimating rehabilitation outcome, but also can improve usage of donated cochlear implants.关键词
人工耳蜗适应证/人工耳蜗植入/筛查Key words
Cochear inplantation indications/Cochlear implantation/Screening引用本文复制引用
张山山,李万鑫,刘军,刘明波,金伟,吴勇,杨白菊,赵辉,戴朴..海南省人工耳蜗植入捐赠项目术前筛查结果分析[J].中国听力语言康复科学杂志,2017,15(1):76-80,5.基金项目
解放军总医院临床科研扶持基金(2012FC-TSYS-4017) （2012FC-TSYS-4017）
北京市科技计划首都市民健康项目培育基金(Z131100004013019) （Z131100004013019）
