中华耳科学杂志2026，Vol.24Issue(2)：114-117,4.DOI:10.3969/j.issn.1672-2922.2026.02.004
听力学联合检测技术在突发性耳聋诊断中的应用
Application of combined audiological testing in the diagnosis of sudden deafness
摘要
Abstract
Objective To investigate the value of combined audiological testing in diagnostic and prognostic evaluation in sudden deafness(SD).Methods A total of 298 patients(135 females and 163 males,average age=53.3±3.5 years)initially diagnosed with SD at Lianyungang Municipal Dongfang Hospital from January 2022 to March 2024 were underwent combined audiological testing including tympanometry,pure tone audiometry,otoacoustic emissions,and auditory brainstem responses.Patients suspected of retrocochlear lesions were referred for imaging evaluation.Results Tympanometry showed type A tympanograms in all 298 patients.Pure tone audiometry revealed sensorineural hearing loss.Otoacoustic emissions were abnormal in 283 cases.Auditory brainstem responses showed prolonged latencies of waves Ⅰ,Ⅲ and Ⅴ in 16 cases,with the Ⅰ-Ⅴ interpeak interval prolonged in 7 cases and the Ⅲ-Ⅴ interpeak interval prolonged in 9 cases.Magnetic resonance imaging revealed acoustic neuroma in 9 cases,large intracranial hemangioma in 2 cases,intracranial metastatic tumor in 2 cases,and cerebral focal infarction in 3 cases.The rate of complete hearing recovery was 72.9％(121/166)for low-frequency descending hearing loss SD and 57.9％for flat descending hearing loss.Hearing improvement was seen in 40.8％of the cases with high-frequency descending hearing loss.Inefficiency is 42.3％.Hearing was not significantly improved postoperative in the 9 patients with acoustic neuroma.Of the 2 patients with intracranial hemangioma,hearing improved in 1 case after surgery.Treatment was ineffective in terms of hearing in the 2 patients with intracranial metastatic tumors.Conclusions This study demonstrates that combined audiological testing is of great value in the diagnosis and treatment of SD,with a complimentary effect in identifying,locating and quantifying etiologies of hearing loss,as well as in differential diagnosis,thereby improving diagnostic accuracy and reliability,reducing misdiagnosis and missed diagnosis,and aiding in predicting disease outcomes and guiding personalized treatment.关键词
纯音测听/声导抗测试/听性脑干反应/耳声发射/突发性耳聋Key words
pure-tone audiometry/tympanometry/auditory brainstem response/otoacoustic emission/sudden deafness引用本文复制引用
朱兴中,吴龙体,孙军,姜立学..听力学联合检测技术在突发性耳聋诊断中的应用[J].中华耳科学杂志,2026,24(2):114-117,4.基金项目
南京医科大学康达学院科研发展基金课题(KD2022KYJJZD150) （KD2022KYJJZD150）
连云港市"521高层次人才培养工程"2024年度科研项目资助计划(LYG065212024091) （LYG065212024091）
