耳蜗电图在梅尼埃病诊断中的研究进展
Electrocochleography for the Diagnosis of Clinically Certain Meniere’s Disease
DOI: 10.12677/ACM.2017.75050, PDF,   
作者: 池万磊：天津医科大学，天津；周 婧, 周慧芳：天津医科大学总医院耳鼻咽喉头颈外科，天津
关键词: 梅尼埃；耳蜗电图；电极放置；短纯音；SP/AP面积比；Meniere’s Disease； Electrocochleography； Electrode Placement； Tone Burst； SP/AP Area Ratio
摘要: 梅尼埃是一种进行性、特发性、能导致听力致残的内耳疾病，但病人的早期症状不典型，导致临床很难及时确诊，目前梅尼埃的诊断范畴，由于无法直接获得病理学依据，很大程度上依靠典型的临床症状结合相关听功能检查，耳蜗电图是目前研究最多的电生理检查，具有较高的诊断价值。本综述将简要总结用于诊断梅尼埃病的耳蜗电图的检查发展。将讨论电极放置对AP和SP数值的影响、SP/AP振幅比及面积比的灵敏度比较和短纯音刺激的优点，以期加强耳蜗电图异常在识别梅尼埃病中的敏感性，为梅尼埃病的早期诊断提供帮助。
Abstract: Meniere’s disease is a progressive, idiopathic inner ear disease resulting in hearing of loss. Cur-rently, diagnosis for Meniere’s disease largely relies on the hearing function tests, due to the lack of direct pathological basis and atypical symptoms. Many studies showed that the Electrocochle-ography is the most valuable electrophysiological examination on the diagnosis for Meniere’s dis-ease. This review will briefly summarize the useful components of the EcochG for the diagnosis of Meniere’s disease and the development of the technology, and discuss the effect of electrode placement on AP and SP size and the merits of tone burst stimulation. The sensitivity of the SP/AP area ratio compare with amplitude ratio will be also discussed which hopefully could emphasize the importance of the symptomatic and functional findings of cochlear, and be helpful in diagnosis for Meniere’s disease.
文章引用：池万磊, 周婧, 周慧芳. 耳蜗电图在梅尼埃病诊断中的研究进展[J]. 临床医学进展, 2017, 7(5): 299-305. https://doi.org/10.12677/ACM.2017.75050

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