目的研究纯音测听对听骨链病变类型的预测价值,以及不同类型听骨链病变患者听骨链重建术后的远期听力效果。方法回顾性分析2013年至2017年间于北京大学第三医院耳鼻咽喉头颈外科行鼓室成形及听骨链重建术的患者,按照术中发现的听骨链病...目的研究纯音测听对听骨链病变类型的预测价值,以及不同类型听骨链病变患者听骨链重建术后的远期听力效果。方法回顾性分析2013年至2017年间于北京大学第三医院耳鼻咽喉头颈外科行鼓室成形及听骨链重建术的患者,按照术中发现的听骨链病变类型将其分为3组:(A)听骨链中断组,(BC)听骨链固定组,(D)听骨链完整而被病变包绕组。比较3组患者术前、术后的纯音测听结果,包括平均气导听阈(pure tone audiometry,PTA)、气骨导差(airbonegap,ABG)以及各频率的气、骨导阈值。结果入组92例患者,共计93侧耳,随访时间均大于6个月。3组患者术前PTA、ABG及各频率气导阈值均有统计学差异(P<0.05)。D组术前气导呈低频下降为主的听力曲线,骨导听力基本正常;A组与BC组术前气导呈平坦型下降曲线,伴有明显的中高频骨导下降。3组患者术后PTA、ABG均较术前显著降低(P<0.05),其中BC组阈值降低最明显,D组术后低频听阈基本恢复到正常范围。结论当听骨链中断且固定时,其听力损失主要由听骨链固定所致。听骨链固定引起的听力下降程度最重,骨气导间距最大,听骨链完整但被病变包绕引起的听力损失最轻。听骨链重建术能够有效改善患者的听力,其中听骨链固定的患者术后听力改善程度最明显。展开更多
Introduction:Osteoporosis and osteopenia are progressive disorders characterized by decreased bone mass,especially in postmenopausal women.These can be associated with body pain,fractures,hearing loss and balance diso...Introduction:Osteoporosis and osteopenia are progressive disorders characterized by decreased bone mass,especially in postmenopausal women.These can be associated with body pain,fractures,hearing loss and balance disorders.The present study aims to evaluate audio-vestibular function in postmenopausal patients with osteopenia or osteoporosis.Methods:The study included 48 postmenopausal women(new subjects)diagnosed with osteoporosis(n=23)or osteopenia(n=25)in the age range of 50e66 years,as well as 28 normal women as controls.Audiological testing included pure tone audiometry(conventional and extended high-frequency audiometry),speech audiometry,impedance audiometry and otoacoustic emissions,including both transient evoked otoacoustic emissions(TEOAEs)and distortion product otoacoustic emissions(DPOAEs).All subjects also underwent vestibular evoked myogenic potentials testing(both ocular and cervical VEMPs).Results:In the present study,hearing was worse at all frequencies in the osteoporosis group in comparison with the osteopenia and control groups,with worse speech recognition and discrimination scores and OAEs.Vestibular function was affected in 95.65%of women with osteoporosis and 76%of those with osteopenia.Conclusion:Osteoporosis and osteopenia are risk factors for vestibular dysfunction and hearing deficits in postmenopausal women.Thus,hearing and vestibular function should be monitored by audiological and vestibular testing periodically in these individuals.展开更多
文摘目的研究纯音测听对听骨链病变类型的预测价值,以及不同类型听骨链病变患者听骨链重建术后的远期听力效果。方法回顾性分析2013年至2017年间于北京大学第三医院耳鼻咽喉头颈外科行鼓室成形及听骨链重建术的患者,按照术中发现的听骨链病变类型将其分为3组:(A)听骨链中断组,(BC)听骨链固定组,(D)听骨链完整而被病变包绕组。比较3组患者术前、术后的纯音测听结果,包括平均气导听阈(pure tone audiometry,PTA)、气骨导差(airbonegap,ABG)以及各频率的气、骨导阈值。结果入组92例患者,共计93侧耳,随访时间均大于6个月。3组患者术前PTA、ABG及各频率气导阈值均有统计学差异(P<0.05)。D组术前气导呈低频下降为主的听力曲线,骨导听力基本正常;A组与BC组术前气导呈平坦型下降曲线,伴有明显的中高频骨导下降。3组患者术后PTA、ABG均较术前显著降低(P<0.05),其中BC组阈值降低最明显,D组术后低频听阈基本恢复到正常范围。结论当听骨链中断且固定时,其听力损失主要由听骨链固定所致。听骨链固定引起的听力下降程度最重,骨气导间距最大,听骨链完整但被病变包绕引起的听力损失最轻。听骨链重建术能够有效改善患者的听力,其中听骨链固定的患者术后听力改善程度最明显。
文摘Introduction:Osteoporosis and osteopenia are progressive disorders characterized by decreased bone mass,especially in postmenopausal women.These can be associated with body pain,fractures,hearing loss and balance disorders.The present study aims to evaluate audio-vestibular function in postmenopausal patients with osteopenia or osteoporosis.Methods:The study included 48 postmenopausal women(new subjects)diagnosed with osteoporosis(n=23)or osteopenia(n=25)in the age range of 50e66 years,as well as 28 normal women as controls.Audiological testing included pure tone audiometry(conventional and extended high-frequency audiometry),speech audiometry,impedance audiometry and otoacoustic emissions,including both transient evoked otoacoustic emissions(TEOAEs)and distortion product otoacoustic emissions(DPOAEs).All subjects also underwent vestibular evoked myogenic potentials testing(both ocular and cervical VEMPs).Results:In the present study,hearing was worse at all frequencies in the osteoporosis group in comparison with the osteopenia and control groups,with worse speech recognition and discrimination scores and OAEs.Vestibular function was affected in 95.65%of women with osteoporosis and 76%of those with osteopenia.Conclusion:Osteoporosis and osteopenia are risk factors for vestibular dysfunction and hearing deficits in postmenopausal women.Thus,hearing and vestibular function should be monitored by audiological and vestibular testing periodically in these individuals.