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目的 探讨主观视觉垂直线（subjective visual vertical,SVV）和主观视觉水平线（subjective visual horizontal,SVH）检查对单侧突发性耳聋患者前庭损伤的评估价值及其与突发性耳聋预后的相关性。方法 回顾性选取2020年1月到2024年6月和睦家新城医院、和睦家中西医结合医院、和睦家京北妇儿医院、和睦家新静门诊部及上海嘉会国际医院耳鼻咽喉头颈外科收治的123例单侧耳突发性耳聋患者及40名健康志愿者的SVV和SVH检查异常率与偏斜度，评估SVV和SVH检查与突发性耳聋预后的相关性。结果 治疗前，突聋组的SVV和SVH异常率显著高于健康对照组，其中突聋伴眩晕患者的SVV和SVH偏斜度和异常率显著高于突聋不伴眩晕组和健康对照组（P<0.05）；突聋患者治疗后的SVV和SVH偏斜度显著降低，SVV和SVH正常患者的听力恢复均值分别为（27.54±19.14）dB HL、（23.91±17.53）dB HL,SVV和SVH异常患者的恢复均值仅分别为（8.91±13.67）dB HL、（12.02±14.47）dB HL,SVV和SVH正常组与异常组听力恢复均值具有显著性差异（P<0.05）。结论 SVV和SVH检测可有效评估突发性耳聋患者的前庭功能损伤情况，SVV和SVH异常的患者听力恢复较差，表明SVV和SVH可作为突发性耳聋预后的评估指标。
Abstract：Objective To report subjective visual vertical and subjective visual horizontal results in patients with sudden sensorineural hearing loss(SSNHL) and their potential correlation with SSNHL prognosis. Methods The rate of SVV and SVH abnormality and deviation angles were retrospectively analyzed in 123 patients with unilateral SSNHL who visited United Family Pudong Hospital, United Family Hospital of Integrative Medicine, United Family Women‘s and Children's Hospital, Shanghai United Family Hospital(Jing'An) and Shanghai Jiahui International Hospital from January 2020 to June 2024. and 40 healthy volunteers, as well evaluate their correlation with SSNHL prognosis. Results Before treatment, the rate of SVV and SVH abnormality in the SSNHL group was significantly higher than in the healthy control group, and significantly higher in those who with vertigo with greater SVV and SVH deviation angles as compared to patients without vertigo and the healthy controls(P<0.05). After treatment, SVV and SVH deviation angles in SSNHL patients significantly decreased. Hearing improvement was(27.54±19.14) dB HL in patients with normal SVV and(23.91±17.53) dB HL in patients with normal SVH, respectively, but only(8.91±13.67) dB HL in patients with abnormal SVV and(12.02±14.47) dB HL in those with abnormal SVH, respectively,(P<0.05). Conclusions SVV and SVH tests can effectively assess vestibular damage in patients with SSNHL. Patients with abnormal SVV and SVH have poorer hearing recovery, indicating that SVV and SVH can be used as prognostic indicators in SSNHL.
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基本信息:
中图分类号:R764.437
引用信息:
[1]刘亮,黄玉宇,彭日顺子,等.SVV和SVH检测对单侧突发性耳聋患者的评估价值及其预后相关性分析[J].中华耳科学杂志,2025,23(09):1015-1018.