中国耳鼻咽喉颅底外科杂志2023，Vol.29Issue(6)：36-40,5.DOI:10.11798/j.issn.1007-1520.202322566
右心声学造影检测突发性耳聋患者右向左分流的临床价值
Clinical value of right heart contrast echocardiography in detecting right-to-left shunt in patients with sudden deafness
摘要
Abstract
Objective To explore the relationship between sudden deafness and right-to-left shunt(RLS)by contrast transthoracic echocardiography(cTTE)so as to provide new research direction and powerful theoretical basis for the clinical diagnosis and treatment of sudden deafness.Methods One hundred patients with sudden deafness were selected as the sudden deafness group and 100 healthy subjects as the control group.The incidence of RLS,the size and type of shunt between the sudden deafness group and the control group were compared.The sudden deafness group was subdivided into RLS positive group and RLS negative group by cTTE,and the differences in gender,concomitant symptoms,comorbidities,deafness classification and efficacy between the two subgroups were analyzed.Results There were significant differences in the incidence of RLS,mass flow rate and shunt type between the sudden deafness group and the control group(all P＜0.05).In the sudden deafness group,the patients with positive RLS were younger than those with negative right-to-left shunt(P＜0.05).Conclusion The occurrence of sudden deafness is related to RLS,and the detection rate of RLS can be effectively improved by using cTTE and Valsalva maneuver.关键词
突发性耳聋/右心声学造影/右向左分流/Valsalva动作/感音性神经听力损失Key words
Sudden deafness/Contrast transthoracic echocardiography/Right to left shunt/Valsalva maneuver/Sud-den sensorineural hearing loss分类
医药卫生引用本文复制引用
杨慧娟,乔英艳,段银玲,毛荔,李晓美,索利敏..右心声学造影检测突发性耳聋患者右向左分流的临床价值[J].中国耳鼻咽喉颅底外科杂志,2023,29(6):36-40,5.基金项目
山西省卫生健康委科研课题(2021118) （2021118）
山西省自然科学基金资助项目(面上项目,201901D111392). （面上项目,201901D111392）
