山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (5): 25-28.doi: 10.6040/j.issn.1673-3770.0.2015.180

• 论著 • 上一篇    下一篇

儿童与成人人工耳蜗植入术并发症比较及处理

陈世琴, 胡金旺   

  1. 安徽省第二人民医院耳鼻咽喉头颈外科, 安徽 合肥 230041
  • 收稿日期:2015-05-06 修回日期:2015-09-22 出版日期:2015-10-16 发布日期:2015-10-16
  • 通讯作者: 胡金旺,E-mail:enthjw@163.com E-mail:enthjw@163.com
  • 作者简介:陈世琴,E-mail:shiqinchen526@163.com

Complications of cochlear implantation in children and adults

CHEN Shiqin, HU Jinwang   

  1. Department of Otolaryngology & Head and Neck Surgery, Anhui No.2 Provincial People's Hospital, Hefei 230041, Anhui, China
  • Received:2015-05-06 Revised:2015-09-22 Online:2015-10-16 Published:2015-10-16

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摘要： 目的 探讨儿童与成人人工耳蜗植入术并发症的不同特点,总结其处理经验。方法 回顾性分析170例人工耳蜗植入患者的病历资料,根据年龄将其分为儿童组及成人组,分析比较两组人工耳蜗植入术并发症出现的特点及处理经验。结果 170例人工耳蜗电极均一期植入,成功率100%。术后3 d内出现发热患者15例,儿童13例(8.84%),成人2例(8.69%),发热率差异无统计学意义(P>0.05)。内耳发育正常的患者术后出现眩晕21例,儿童10例(10.20%),成人11例(52.38%),儿童术后眩晕率较成人低(P<0.05)。1例成人患者人工耳蜗植入出现术后头皮血肿,予头皮血肿抽吸后痊愈。1例儿童患者人工耳蜗植入术后外耳道口皮肤穿孔,经手术修复痊愈。1例儿童患者人工耳蜗植入术后18个月皮下植入体损坏,行再次人工耳蜗植入术。结论 人工耳蜗植入术后不同并发症的发生在不同年龄阶段表现不一,对人工耳蜗植入术后并发症与年龄的趋向性进行比较分析,为临床工作者对其预见及处理提供相关经验及依据。

关键词: 人工耳蜗植入术, 并发症, 发热, 眩晕

Abstract: Objective To compare the characteristics of complications after cochlear implantation in children and adults, and to explore the management of these complications. Methods A total of 170 cases of cochlear implantation were retrospectively analyzed. These patients were divided into children group (n=147) and adult group (n=63) according to their age. The characteristics of complication and management were summarized. Results The success rate of implantation was 100%. Three days after operation, 13 children (8.84%) and 2 adults (8.69%) developed fever, and there was no significant difference in the incidence of fever between children and adults(P>0.05). Among those with normal inner ear, 10 children (10.20%) and 11 adults (52.38%) had postoperative vertigo, and the incidence of vertigo was lower in children than that in adults (P<0.05). Scalp hematoma occurred in 1 adult and healed after extraction. External ear canal skin perforation was observed in 1 child which was cured with surgical repair. The cochlear implant was damaged 18 months after implantation in 1 child and was re-implanted. Conclusion Different complications may occur in different periods after cochlear implantation in various age groups, which need clinicians' close attention.

Key words: Cochlear implants, Vertigo, Fever, Complications

中图分类号: 

  • R764.35
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