MRI联合彩超血管测量在突发性耳聋临床评估中的作用OA

Objective To investigate the value of combined magnetic resonance imaging(MRI)and color doppler ultrasound vascular measurement in clinical evaluation of patients with sudden sensorineural hearing loss(SSNHL).Methods Data from patients with SSNHL treated in our hospital(n=268)were retrospectively analyzed.The relationships between Kazawa type of the anterior inferior cerebellar artery(AICA)on MRI and intima-media thickness of the common carotid artery(CCA-IMT)measured by color doppler ultrasound,and SSNHL classification,degree of hearing loss,prognosis,hematological indicators and patients age were analyzed.Results CCA-IMT varied with the degree of hearing loss(P＜0.05),and Kazawa type of AICA varied with hearing improvement(P＜0.05).CCA-IMT and Kazawa type of AICA showed no correlation to SSNHL type,prognosis and hearing improvement(P＞0.05).Kazawa type of AICA also showed no significant to degree of hearing loss(P＞0.05).CCA-IMT and Kazawa type of AICA demonstrated no correlation to each other(P＞0.05),although CCA-IMT was correlated to hypertension,diabetes mellitus,tinnitus,age,gender and red cell distribution width-to-albumin ratio(RAR)(P＜0.05),but not to vertigo(P＞0.05),whereas Kazawa type of AICA was correlated to none of these(P＞0.05).Conclusions Combined MRI and color Doppler ultrasound vascular measurement can help assess the severity of hearing loss and predict hearing improvement outcomes in patients with SSNHL.