小儿行为听力测试在人工耳蜗植入术前评估中的应用

The Role of Pediatric Behavioral Hearing Assessment Before Cochlear Implant

目的 探讨小儿行为听力测试在人工耳蜗植入中的作用。方法和结果 在我院临床听力中心 1996年至 2 0 0 1年 4月就诊的 10 0 0科名 6岁以下儿童中要求植入人工耳蜗的小儿 ,男 30例 ,女 2 6例 ,经系统的术前的医学和听力学评估 (CT或MRI、ABR、40Hz -AERP、声阻抗、耳声发射、小儿行为听力评估包括裸耳听阈和助听听阈 ) ,植入人工耳蜗 45例 ,10例配以助听器 ,1例证实为蜗后病变而随访。结论 小儿行为听力测试在人工耳蜗植入术前听力学评估很重要 ,可以进行手术适应证的选择、指导术后调试 ,并可作为术前的听觉训练。

Objective To discuss the role of behavioral hearing assessment in cochlear implant for children. Methods and Results The patients selection under the age of 6. Forty-five were implanted with cochlear (Nucleus 41 and Med-E1 4) among 56 children who could afford cochlear implant and underwent comprehensive pre-operative hearing and medical assessment. Conclusion Behavioral hearing assessment can be used as a tool of implant patient selection, pre-operative hearing orientation and mapping guide.