中国耳鼻咽喉头颈外科2025，Vol.32Issue(9)：557-560,4.DOI:10.16066/j.1672-7002.2025.09.003
首发症状为突发性感音神经性聋的听神经瘤患者听力言语特征研究
Auditory and speech features in vestibular schwannoma patients with sudden sensorineural hearing loss as the first symptom
摘要
Abstract
OBJECTIVE To investigate the differences in audiological characteristics and speech recognition rates between vestibular schwannoma(VS)patients presenting with sudden sensorineural hearing loss(SSNHL)as first symptom and patients with idiopathic sudden deafness(ISD),in order to provide a reference for clinical diagnosis and differential diagnosis.METHODS A retrospective analysis was conducted on 60 patients with VS presenting as SSNHL(VS group),and 60 patients with unilateral ISD(SD group).Pure-tone thresholds,audiogram configurations,and speech recognition scores were compared between the two groups.Statistical analyses were performed using t-test,Mann-Whitney U test,and chi-square test.RESULTS Hearing loss in the VS group was mainly distributed in the moderate to profound range,and the proportion of descending-type audiograms was significantly higher than that in the SD group(χ²=13.97,P=0.002 9).In contrast,the SD group was predominantly characterized by mild to moderate hearing loss and flat-type audiograms.Regarding speech recognition,the VS group showed significantly poorer monosyllabic recognition(38.6%±40.4%)and sentence recognition(53.4%±42.0%)compared with the SD group(59.0%±37.8%,75.8%±36.0%,P<0.01).Notably,some VS patients exhibited complete loss of speech recognition even before the pure-tone average reached the level of total deafness.CONCLUSION VS patients presenting with SSNHL showed significant differences in audiogram configurations and speech recognition compared with those with ISD.A marked decline in speech recognition,combined with a typical descending-type audiogram,may serve as important clinical indicators,suggesting that early imaging examinations should be performed to confirm the diagnosis.关键词
听觉丧失,突发性/耳聋/言语识别测验/听阈/听神经瘤/言语识别率/听力曲线Key words
Hearing Loss,Sudden/Deafness/Speech Discrimination Tests/Auditory Threshold/vestibular schwannoma/speech recognition score/audiogram configuration引用本文复制引用
石颖,邹馨悦,陈彪,杜晓涵,郝欣平..首发症状为突发性感音神经性聋的听神经瘤患者听力言语特征研究[J].中国耳鼻咽喉头颈外科,2025,32(9):557-560,4.基金项目
北京市中医药科技发展资金项目(BJZYYB-2025-09) （BJZYYB-2025-09）
