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简介：Cochlearimplantationisoneofthebestamongstthevariousmanagementoptionsavailableforchildrenandadultswithseveretoprofoundsensorineuralhearingloss.Innerearandinternalauditorycanal(IAC)malformationsaccountstoapproximately25%ofcongenitalsensorineuralhearinglossinchildren.Theprimarygoalofthisreportwastoevaluatethecommunicationoutcomesaftercochlearimplantationinachildwithcysticcochleovestibularanomaly(CCVA).Thechildwasevaluatedthroughvariousstandardizedoutcomemeasuresatregularintervalstotracktheprogressintermsofauditoryandspokenlanguageskills.ThescoresonCategoriesofAuditoryPerception(CAP),MeaningfulAuditoryIntegrationScale(MAIS),SpeechIntelligibilityRating(SIR),MeaningfulUseofSpeechScale(MUSS),andlisteningandspokenlanguageskillsshowedasignificantleapin12monthsdurationpostimplantation.Thereportthushighlightsandcorrelatesthesignificantprogressinauditoryandspokenlanguageskillsofthechildwithcongenitalmalformationstoappropriateauditoryrehabilitationandintensiveparentaltraining.

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简介：目的：探讨Child-Pugh分级、终末期肝病模型（modelforend-stageliverdisease,MELD）评分在肝硬化患者行腹腔镜胆囊切除术（laparoscopiccholecystectomy,LC）的应用价值。方法：回顾分析2008年9月至2014年9月收治的124例行LC的肝硬化患者的临床资料,按肝功能Child-Pugh分级、MELD评分进行分组,其中ChildA级91例,ChildB级33例;MELD评分〈14分85例,MELD评分≥14分39例。对比ChildA级与B级、MELD评分〈14分与≥14分患者间的术中出血量、术后并发症发生率、术后住院时间及住院费用。结果：ChildA级组患者术中出血量、术后并发症发生率、术后住院时间及住院费用与ChildB级组相比差异无统计学意义（P〉0.05）;MELD评分〈14分组术中出血量、术后并发症发生率、术后住院时间及住院费用均明显低于MELD评分≥14分组,差异有统计学意义（P〈0.05）。结论：与Child-Pugh分级相比,MELD评分对术中出血量、术后并发症、术后住院时间及住院花费的预测价值更高,可作为肝硬化患者LC术前肝功能评价的常规手段。