中华耳科学杂志2025，Vol.23Issue(7)：838-843,6.DOI:10.3969/j.issn.1672-2922.2025.07.004
25例迷路出血致突发性聋的临床特点
Clinical Characteristics of Sudden Sensorineural Hearing Loss Caused by Labyrinthorrhage
摘要
Abstract
Objective To report clinical features,diagnosis and treatment of SSNHL caused by labyrinthorrhage.Methods Date from 65 patients with SSNHL who were admitted to Xuzhou Medical University Affiliated Hospital from 2021 to 2024 were reviewed,including general conditions,clinical manifestations,hematology tests,audiological tests,vestibular function tests,and prognosis.Patients with inner ear hemorrhage were identified by 3D FLAIR sequence of MRI and compared with those without inner ear hemorrhage.Results 3D FLAIR sequence examination showed abnormal high signal in different parts of the inner ear in 25 patients,diagnosed as inner ear hemorrhage.Compared with the other 40 cases without inner ear bleeding,the level of hearing loss,symptoms and vestibular function showed statistically significant differences(P<0.05),although no statistically significant difference in treatment outcomes(P>0.05).Conclusion SSNHL caused by inner ear hemorrhage tends to present with more serious clinical manifestations and poorer prognosis.3D FLAIR is an important way to diagnose inner ear hemorrhage,with T1WI and 3D FLAIR sequences showing abnormally high signals.Hemorheological therapy should be used with caution until MRI diagnosis.关键词
内耳出血/突发性聋/治疗/影像学检查/听力损失加重Key words
bleeding in the inner ear/sensorineural hearing loss/treatment/imaging examination/aggravated hearing loss引用本文复制引用
段千,厉媛,李轩毅,乔月华,王采集,蒋雯,刘后广,刘稳..25例迷路出血致突发性聋的临床特点[J].中华耳科学杂志,2025,23(7):838-843,6.基金项目
国家自然科学基金(52275296) （52275296）
江苏省中医药科技发展计划项目课题(QN202009) （QN202009）
江苏省高校重点实验室开放课题(XZSYSKF2022005) （XZSYSKF2022005）
徐州市卫生健康委2022年度医学科技创新立项项目(XWKYHT20220149) （XWKYHT20220149）
