人工耳蜗植入术的并发症及处理
作者简介:

钟翠萍,Email:doctor.zhong@hotmail.com

基金项目:

甘肃省重点研发计划项目(18YF1WA132)。


Complications and management of cochlear implantation
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    摘要:

    目的总结和分析人工耳蜗植入术并发症,探讨并发症发生的原因、临床处理方法及预后,为避免该类并发症的发生提供临床参考。方法现对中国人民解放军联勤保障部队第九四〇医院2010年5月—2019年4月由同一术者完成的497例(498耳)人工耳蜗植入术,对其发生原因进行回顾性分析。结果24 例发生并发症(24/497),占4.8%,其中眩晕9例,骨膜下血肿2例,感染或过敏1例,外耳道皮肤破裂1例,面神经及鼓索神经损伤各1例,死亡1例,术后脑脊液耳鼻漏合并颅内感染1例,术中电钻钻头断裂至鼓阶内1例,植入体局部斑秃2例、电极未植入耳蜗1例、磁铁移位2例,装置故障1例。结论如何降低人工耳蜗植入手术严重并发症的发生,目前仍然是人工耳蜗植入亟待解决的问题。

    Abstract:

    ObjectiveTo summarize and analyze the complications of cochlear implantation (CI) and explore their causes, clinical treatment and prognosis so as to provide clinical reference for avoiding the occurrence of such complications.MethodsA retrospective analysis was made on the causes of complications in 497 cases (498 ears) of CI performed by the same surgeon in our department from May 2010 to April 2019.Results24 cases had complications, accounting for 4.8% (24/497) of all the cases. The complications included vertigo (n=9), subperiosteal hematoma (n=2), infection or allergy (n=1), external auditory canal skin rupture (n=1), facial nerve (n=1) and tympanic nerve (n=1) injury, death (n=1), otorhinorrhea complicated with intracranial infection (n=1), rupture of electric drill bit to tympanic scale (n=1), local alopecia areata of implant (n=2), unimplanted electrode into cochlea (n=1), magnet displacement(n=2) and device failure(n=1).ConclusionHow to reduce the occurrence of serious complications is still an urgent problem in CI.

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蔺文魁,史强有,王静,安飞,钟翠萍.人工耳蜗植入术的并发症及处理[J].中国耳鼻咽喉颅底外科杂志,2020,26(6):645-649

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  • 在线发布日期: 2020-12-28
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