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目的:探讨梅毒性感音神经性聋的临床表现、诊断和治疗。方法:回顾性分析3例梅毒性感音神经性聋患者的临床症状、体征、血清学及治疗。结果:3例梅毒性感音神经性聋患者中,2例RPR和TPPA均阳性;1例RPR阴性,TPPA阳性;2例在外院已确诊为梅毒并行驱梅治疗;2例为突发性聋起病,伴有耳鸣,1例为耳鸣起病伴高频听力下降。均已排除了其他原因所致的耳聋耳鸣,治疗后听力无改善。结论:梅毒性感音神经性聋可以突发性聋或耳鸣发病,易漏诊。对病因不明的听力下降,伴有耳鸣、眼球震颤的患者,应行必要的实验室检查以明确诊断。
Objective: To investigate the clinical manifestations, diagnosis and treatment of syphilis-induced acoustic neuropathy. Methods: The clinical symptoms, signs, serology and treatment of 3 cases of syphilis with sensorineural hearing loss were retrospectively analyzed. Results: Of the 3 patients with syphilis and sensorineural hearing loss, 2 were positive for RPR and TPPA, 1 were negative for RPR, and were positive for TPPA, 2 were diagnosed as syphilis and flooding in the hospital, 2 were sudden deafness Disease, accompanied by tinnitus, 1 case of tinnitus onset with high frequency hearing loss. Have ruled out other causes of deafness tinnitus, no improvement in hearing after treatment. Conclusion: Syphilis sensory neurosensory deafness can be sudden deaf or tinnitus disease, easy to missed diagnosis. Patients with unknown etiology, tinnitus and nystagmus should undergo necessary laboratory tests to confirm the diagnosis.