摘要
目的分析259例人工耳蜗植入(cochlear implantation,CI)患者的并发症,探讨并发症产生的原因、处理方法和预后。方法对1997年3月～2006年12月在我科接受人工耳蜗植入的259例患者的并发症及其处理和预后情况进行回顾性分析。结果259例人工耳蜗植入患者平均年龄8.4岁,最小11个月,最大52岁。随访时间平均2.9年。有4例患者发生严重的手术并发症(1例鼓膜穿孔行二期修补术、2例面神经麻痹行面神经减压术、1例脑脊液耳漏合并脑膜炎)。有39例患者出现轻度手术并发症,包括鼓膜穿孔、血肿、切口感染、面神经部分暴露等,经保守治疗或术中简单处理均得到有效控制。与人工耳蜗装置相关的并发症10例(3例人工耳蜗电极未植入或仅部分植入耳蜗内、1例术后电极脱出、5例人工耳蜗装置故障、1例耳蜗内植入后无反应)。所有手术并发症经过保守治疗或手术干预,预后良好。10例人工耳蜗装置故障经调整或再植入后,9例得到圆满解决,1例植入体取出。结论人工耳蜗植入是相对安全的手术。大部分手术并发症为轻度并发症,通过保守治疗或小的手术干预预后良好。人工耳蜗植入病例的选择要注意适应症。
Objective To study the complications occurred to 259 patients with profound bilateral sensodneural hearing loss associated with undergoing cochlear implantations （CI）. The study also investigated the management and sequelae of each complication. Methods The surgical findings and complications of the patients undergoing CI in our hospital were analysed, retrospectively. Results The present study included 259 patients undergoing implantation, with a mean age of 8.4 years old at implantation, ranging from 0.94 to 52.7 years. The mean duration of follow-up at the time of the study was 2.9 years （range, 0.1-9.8 yr）. There were 4 major surgical complications （e.g., persistent eardrum perforation,facial paralysis,leakage of cerebrospinal fluid with meningitis）. There were 35 minor surgical complications. These complications （e.g., eardrum perforation, hematoma, wound infection, facial nerve exposure and so on） were managed with conservative treatment or minor intervention. There were 10 CI device complications, （e.g., inappropriate electrode placement, device failure, and electrodes outside the cochlear postoperative）. Most surgical complications had been treated effectively with conservative treatment or minor surgical intervention. The 9 of 10 CI devices complications had to receive reimplantation. Conclusion CI is a relatively safe surgical procedure. Most surgical complications are minor and can be treated with conservative treatment or minor surgical intervention. It is very important to choose patients according to the indication of CI.
出处
《中国听力语言康复科学杂志》
2007年第3期20-23,共4页
Chinese Scientific Journal of Hearing and Speech Rehabilitation
基金
解放军总医院科技创新基金(项目编号:06ZY13)
北京市自然科学基金面上项目(项目编号:7062062)
关键词
人工耳蜗植入
并发症
外科
耳聋
Cochlear implantation
Complications
Surgery
Deafness
