中华耳科学杂志2017，Vol.15Issue(3)：290-294,5.DOI:10.3969/j.issn.1672-2922.2017.03.002
听力学检测和内耳磁共振成像在梅尼埃病诊断中的作用
Audiological Tests and Inner Ear MRI in Diagnosis of Meniere's Disease
林有辉 1林少莲 1叶胜难 1舒博 1胡婕 1林丁丁1
作者信息
- 1. 福建医科大学附属第一医院耳鼻咽喉头颈外科 福州350005
- 折叠
摘要
Abstract
Objective To report the clinical value of a various audiological tests inner ear MRI in the diagnosis of Meniere's disease. Methods Clinical data of 77 patients with Meniere's disease diagnosed from Jan. 2012 to Dec. 2015 were analyzed retrospectively, including pure tone audiometry, glycerol tests, electrocochleogram, caloric tests, vestibu-lar evoked myogenic potentials, inner ear magnetic resonance imaging, etc. Results Unilaterally abnormal pure tone au-diometry results were seen in 69 patients (92.3%). Vestibular evoked myogenic potentials were detected in 65 cases and abnormal in 37 cases (56.9%). Of the 22 patients who received electrocochleogram tests, 15 (68.2%) showed abnormal results. Caloric tests were conducted in 71 cases, and showed abnormal results in 49 cases (69.0%)–abnormal symme-try in 47 cases and bilateral weakness in 2 cases. Glycerol test was positive in 3 of the 12 tested patients (25.0%). In the 76 cases that underwent magnetic resonance imaging with contrast, 70 (92.1%) showed increased fluid volume. Conclu-sions Pure tone audiometry and magnetic resonance imaging demonstrate higher rates of detection of abnormality, fol-lowed by caloric tests and electrocochleography, and can be used as important evidence for the diagnosis of Meniere's disease.关键词
梅尼埃病/纯音测听/前庭诱发肌源性电位/耳蜗电图/甘油试验/磁共振造影Key words
Meniere's Disease/Diagnosis/Audiometry/MRI/Caloric Tests/Electrocochleography分类
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林有辉,林少莲,叶胜难,舒博,胡婕,林丁丁..听力学检测和内耳磁共振成像在梅尼埃病诊断中的作用[J].中华耳科学杂志,2017,15(3):290-294,5.
