中华耳科学杂志2017，Vol.15Issue(5)：531-538,8.DOI:10.3969/j.issn.1672-2922.2017.006.
少年儿童突发性聋的治疗及预后分析
Treatment and Prognosis of Sudden Sensorineural Hearing Loss in Children
钱怡 1钟时勋 1胡国华 1康厚墉 1洪苏玲 1左汶奇 1王玲 1胥正艳 1雷艳1
作者信息
- 1. 重庆医科大学附属第一医院耳鼻咽喉科 重庆400016
- 折叠
摘要
Abstract
Objective To report characteristics, treatment and prognosis of sudden sensorineural hearing loss (SSNHL) in children. Methods Data from 78 children (40 boys and 38 girls, 9-18 years old, mean=15.69 years, 81 ears) with SSNHL seen from January, 2011 to December, 2016 were retrospectively analyzed. The patients were divid-ed into 4 groups based on to their audiometric types, i.e. ascending (n=27), descending (n=9), flat (n=17) or profound (n=25). Clinical characteristics, treatment, prognostic factors were analyzed using univariate and multivariate logistic models. Results The rate of hearing improvement was 96.3%for those with ascending audiometric curves, 76.47%for those with flat audiometric curves, 52.00%for those with profound loss and 44.44%for those with descending audio-metric curves, respectively. The overall recovery rate was 71.79%. The recovery rate was 50%in the 14 patients with tinnitus and 76.56%in the 64 patients without tinnitus. Hearing improved in 14 from the 21 children treated with addi-tional intratympanic methylprednisolone as salvage treatment. Hearing improved in one of the four children who re-ceived postauricular betamethasone injection, and slightly in one of the three children treated with intratympanic meth-ylprednisolone plus postauricular betamethasone injection. Conclusions Multivariate logistic analysis showed that type of audiometric curve and tinnitus were two independent risk factors correlated to therapeutic outcomes.关键词
少年儿童/突发性耳聋Key words
Children/Sudden Sensorineural Hearing Loss分类
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钱怡,钟时勋,胡国华,康厚墉,洪苏玲,左汶奇,王玲,胥正艳,雷艳..少年儿童突发性聋的治疗及预后分析[J].中华耳科学杂志,2017,15(5):531-538,8.
