突发性聋与颈椎病相关性初步研究

Preliminary study on the relationship between cervical spondylosis and sudden deafness

目的:分析探讨47例突发性聋患者预后影响因素及临床病例特征,进一步探析突发性聋与颈椎病的相关性。方法:收集47例2014-2015年陕西省人民医院耳鼻咽喉科、神经内科、康复医学科就诊收治的突发性聋患者的临床资料,影像学检查资料,采用单盲法(医生不知情),通过分析患者影像学资料,直接判断突发性聋左右侧定位,诊断正确叠加率高达90%以上。结果:47例病例中颈椎四位片椎动脉型阳性率为83.87%,颈部血管超声阳性率为55.56%,颈椎MRI或MRA示椎动脉狭窄者阳性率为77.42%;3项检查各出现的阳性数占总病例数的比例依次为:颈椎四位片为65.96%,颈部血管超声为57.45%,颈椎MRI或MRA为65.96%;3种检查综合检出率为95.74%。结论:突发性聋患者中椎动脉型-颈椎病的检出率很高,说明椎动脉型-颈椎病很可能是影响突发性聋预后的因素之一,突发性聋与颈椎病之间存在一定相关性。

Objective：To explore the prognosis factors and clinical features of 32 patients with sudden deafness,and further invested the relationship between cervical spondylosis and sudden sensorineural hearing loss.Method：Thirty-two cases with sudden deafness of ENT,Neurology,rehabilitation medicine department in Shanxi Provincial people＇s Hospital from 2014 to 2015 were collected.The clinical data,radiographic data and disease prognosis were analysed.Result：Thirty-two cases in the cervical four bit tablets vertebral artery type positive rate for：83.87%,neck vascular ultrasound positive rate for：55.56%,cervical MRI or MRA shows vertebral artery narrow who positive rate for：77.42%;three items check the appeared of positive number accounted for total cases number of proportion followed by for：cervical four bit tablets for：65.96%,neck vascular ultrasound for：57.45%,cervical MRI or MRA for：65.96%;three species check integrated check out rate for：95.74%.Conclusion：Sudden deafness in patients with cervical spondylosis of vertebral artery type-detection rate is very high,description of vertebral-artery-type cervical spondylosis is likely to be one of the factors influencing the prognosis of sudden hearing loss,sudden hearing loss and there is a certain correlation between cervical spondylosis.