中国临床医学影像杂志2023，Vol.34Issue(12)：841-844,4.DOI:10.12117∕jccmi.2023.12.002
梅尼埃病患者前庭及耳蜗内淋巴积水程度与临床分期之间的相关性研究
A correlation study between the degree of vestibular and cochlear endolymphatic hydrops and clinical stage in patients with Meniere's disease
于金玉 1侯博 2巩武贤 1巩若箴1
作者信息
- 1. 山东第一医科大学附属省立医院医学影像科,山东 济南 250021
- 2. 山东省立第三医院核医学科,山东 济南 250000
- 折叠
摘要
Abstract
Objective:To investigate the correlation between the degree of vestibular and cochlear endolymphatic hydrops and the clinical staging of Meniere's disease patients.Methods:A total of 172 ears of 161 patients with Meniere's disease were selected,and all of them were given a double dose of gadolinium and underwent a delayed MRI scan 4 h later and perform a pure-tone auditory threshold test(PTA).Clinical staging was performed based on the PTA results of the affected ears according to the criteria of the Chinese guidelines for the diagnosis and treatment of Meniere's disease.Mean hearing thresh-old≤25 dBHL is clinical stage Ⅰ,mean hearing threshold>25～40 dBHL is clinical stage Ⅱ,mean hearing threshold>40～70 dBHL is clinical stage Ⅲ,mean hearing threshold>70 dBHL is clinical stage Ⅳ.The assessment of the degree of en-dolymphatic hydrops was based on the visual assessment method proposed by Bernaerts classifying cochlear hydrops into 3 grades and vestibular hydrops into 4 grades.Then the correlation between the degree of vestibular and cochlear endolymphatic hydrops and the clinical staging was analyzed.Results:There were significant differences in the degree of hearing loss due to the site of vestibular and cochlear endolymphatic hydrops in 161 patients(172 ears in total),and there was a positive correla-tion between the different degree of vestibular and cochlear endolymphatic hydrops and the clinical staging of Meniere's dis-ease patients(P<0.05).Conclusion:There was a correlation between the site and degree of vestibular and cochlear endolym-phatic hydrops and the clinical stage of Meniere's disease patients,and changes in the site and degree of vestibular and cochlear endolymphatic hydrops assessed by gadolinium-enhanced inner-ear MRI may help patients with clinical staging.关键词
梅尼埃病/磁共振成像Key words
Meniere Disease/Magnetic Resonance Imaging分类
临床医学引用本文复制引用
于金玉,侯博,巩武贤,巩若箴..梅尼埃病患者前庭及耳蜗内淋巴积水程度与临床分期之间的相关性研究[J].中国临床医学影像杂志,2023,34(12):841-844,4.
