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目的复习我国近10年来有关听神经病的报道,对其临床诊断做分析。方法检索中国生物医学文献数据库和中国期刊网医学专题全文数据库,以听神经病为关键词检索1995—2004年发表的有关听神经病的文章,按研究对象的选择、样本含量、听功能检查方法和诊断标准等作分析。结果共检出42篇文章,其中临床研究和听神经病病例报道23篇,23篇文章中共检查573例患者1146耳,其中能符合听神经病诊断标准的有480耳,占42%,不足一半。其余有脑干或耳蜗病变或伴有其他周围神经病变的表现。结论听神经病的临床表现及听力学检查和诊断标准等方面有显著不一致的现象,对诊断命名和病变部位的认识还不十分明确。
Objective To review the reports of auditory neuropathy in the past 10 years in our country and analyze its clinical diagnosis. Methods The Chinese medical literature database was searched and the full-text database of Chinese medical journal was searched. The articles about auditory neuropathy published in 1995-2004 with the key words of auditory neuropathy were searched according to the choice of subjects, the sample content, the method of auditory function examination and diagnosis Standard for analysis. Results A total of 42 articles were found, including 23 cases of clinical research and auditory neuropathy. Of the 23 articles, 576 were examined in 1146 ears, of which 480 ears (42%) were diagnosed according to the diagnostic criteria of auditory neuropathy. The remaining brain stem or cochlear lesions or associated with other peripheral neuropathy performance. Conclusion The clinical manifestations of auditory neuropathy and audiological examination and diagnostic criteria have significant inconsistencies in the diagnosis of naming and lesion understanding is not yet clear.