儿童单侧聋的临床表现与诊疗策略

doi:10.12372/jcp.2025.25e0849

临床儿科杂志 ›› 2025, Vol. 43 ›› Issue (12): 971-978.doi: 10.12372/jcp.2025.25e0849

• 文献综述 • 上一篇

儿童单侧聋的临床表现与诊疗策略

陈临睿¹^,³, 邱鉴辉¹^,³, 张欠欠²^,³, 张勤³, 姚远³, 龚天宇³, 陈建勇³, 杨军³, 金玉莲³, 段茂利⁴^,⁵, 张志远¹, 张青³()

1.南昌大学第一附属医院耳鼻咽喉头颈外科（江西南昌 330006）
2.浙江大学医学院附属邵逸夫医院耳鼻咽喉头颈外科（浙江杭州 310000）
3.上海交通大学医学院附属新华医院耳鼻咽喉头颈外科上海交通大学医学院耳科学研究所上海耳鼻疾病转化医学重点实验室（上海 200092）
4.瑞典斯德哥尔摩卡罗林斯卡大学医院创伤与修复医学耳鼻咽喉病区（斯德哥尔摩 17177）
5.瑞典斯德哥尔摩卡罗林斯卡医学院临床科学干预及技术系耳鼻咽喉头颈外科（斯德哥尔摩 17177）

收稿日期:2025-07-16 录用日期:2025-09-10 出版日期:2025-12-15 发布日期:2025-11-28
通讯作者: 张青电子信箱：zhangqing03@xinhuamed.com.cn
基金资助:
国家自然科学基金项目(82171137);国家自然科学基金项目(82471160);国家重点研发计划(2024YFC2511100/2024YFC2511105);中国高校产学研创新基金(2023IT059);上海交通大学医学院附属新华医院项目(XKPF2024B300/XFPF2024B303);上海交通大学医学院附属新华医院项目(23XHCR05A);上海交通大学医学院附属新华医院项目(24XHCR05B)

Clinical manifestations and diagnostic and therapeutic strategies of single-sided deafness in children

CHEN Linrui¹^,³, QIU Jianhui¹^,³, ZHANG Qianqian²^,³, ZHANG Qin³, YAO Yuan³, GONG Tianyu³, CHEN Jianyong³, YANG Jun³, JIN Yulian³, DUAN Maoli⁴^,⁵, ZHANG Zhiyuan¹, ZHANG Qing³()

1. Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi, China
2. Department of Otolaryngology Head and Neck Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang, China
3. Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine; Ear Institute, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai 200092, China
4. Ear, Nose and Throat Patient Area, Trauma and Reparative Medicine Theme, Karolinska University Hospital, Stockholm 17177, Sweden
5. Division of Ear, Nose and Throat Diseases, Department of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm 17177, Sweden

Received:2025-07-16 Accepted:2025-09-10 Published:2025-12-15 Online:2025-11-28

摘要/Abstract

摘要：

单侧聋（SSD）指一侧耳存在重度及以上的感音神经性听力损失，而对侧耳听力正常或轻度受损。虽然患儿可凭借健侧耳维持一定程度的日常交流，但单耳聆听在声源定位、噪声环境下言语识别等方面存在明显缺陷，长期可导致语言发育迟缓、学习能力下降及社交障碍。然而，目前对儿童SSD的认识尚不充分，许多患儿错过了干预治疗的关键期。本文就儿童单侧聋的临床表现及各种干预治疗的特点进行综述，旨在为早期诊断及临床治疗提供参考。

关键词: 单侧聋, 临床表现, 诊断, 治疗, 儿童

Abstract:

Single-sided deafness (SSD) refers to severe to profound sensorineural hearing loss in one ear, with normal or only mildly impaired hearing in the contralateral ear. Although affected children can maintain a certain level of daily communication through the normal-hearing ear, unilateral hearing presents significant limitations in sound localization and speech understanding in noisy environments. Over time, this can lead to delayed language development, reduced learning ability, and social difficulties. However, there is still insufficient awareness of SSD in children, and many children miss the critical window for intervention. This review summarizes the clinical manifestations and various intervention strategies for single-sided deafness in children, aiming to provide a reference for early diagnosis and clinical management.

Key words: single-sided deafness, clinical manifestation, diagnosis, treatment, child

中图分类号:

陈临睿, 邱鉴辉, 张欠欠, 张勤, 姚远, 龚天宇, 陈建勇, 杨军, 金玉莲, 段茂利, 张志远, 张青. 儿童单侧聋的临床表现与诊疗策略[J]. 临床儿科杂志, 2025, 43(12): 971-978.

CHEN Linrui, QIU Jianhui, ZHANG Qianqian, ZHANG Qin, YAO Yuan, GONG Tianyu, CHEN Jianyong, YANG Jun, JIN Yulian, DUAN Maoli, ZHANG Zhiyuan, ZHANG Qing. Clinical manifestations and diagnostic and therapeutic strategies of single-sided deafness in children[J]. Journal of Clinical Pediatrics, 2025, 43(12): 971-978.

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儿童单侧聋的临床表现与诊疗策略

Clinical manifestations and diagnostic and therapeutic strategies of single-sided deafness in children

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