耳蜗电图描记法对听神经瘤的诊断

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耳蜗电图描记法为耳蜗电输出的临床测量。在临床上有以下两种用途:(1)作为听敏度的客观试验,以测验耳蜗及听神经的功能,可以满意地测出听阈的正确度。(2)测定听功能异常的病理,作为神经耳科的成套检查。作为一种客观性听力试验,此法较之其他电反应听力计有下列优点:(1)很可靠,(2)其反应易于复制,(3)对其结果分析很少有困难,(4)对侧耳不必用噪声掩蔽,(5)其反应不受全身麻醉所影响。因此,适用于不能合作的幼儿检先。耳蜗电图描记法应用于神经耳科学方面,尚有待进一步发展。希望在已知病变的病人中,分析其反应,积累资料,以发展这一疗法。作者对45例已证实为听神经瘤的病人,进行耳蜗电图描记法检查,本文报告其所得的初步结果。方法采用Portmann等(1967)的经鼓膜耳蜗电 Cochlear electrogram is a clinical measure of cochlear electrical output. There are two purposes in clinical use: (1) as an objective test of hearing sensitivity, to test the function of the cochlear and auditory nerve can be satisfactorily measured hearing threshold accuracy. (2) To determine the pathology of abnormal hearing function, as a complete set of neurological otology. As an objective hearing test, this method offers the following advantages over other electro-audiometry audiometers: (1) it is reliable, (2) its response is easy to reproduce, (3) it is less difficult to analyze its results, (4) Contralateral ears do not have to use noise masking, (5) the reaction is not affected by general anesthesia. Therefore, apply to children who can not cooperate check. Cochlear electrogram mapping method used in neurological otology, yet to be further developed. I hope in patients with known lesions, analyze their reactions, accumulate information to develop this therapy. The authors examined 45 patients with acoustic neuroma confirmed by electrocochleography, and reported the preliminary results obtained. Methods Portmann et al. (1967) were used for transanal cochlear implants
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