Otology & Neuerotology2026年7月23日
SYSTEMATIC REVIEW

順鉑誘導性聽力損失預防之鼓室內治療系統性回顧與統合分析

// Cisplatin-Induced Hearing Loss Prevention With Intratympanic Therapy Systematic Review and Meta-Analysis

本系統性回顧與統合分析評估鼓膜內注射(IT)藥物預防順鉑引起的聽力損失(CIHL)的效果|分析10項隨機試驗,涉及IT地塞米松、N-乙醯半胱氨酸(NAC)與硫代硫酸鈉(STS),結果顯示地塞米松與NAC無明顯聽力保護效果|有限證據顯示IT STS或具減少耳毒性的潛力,但資料不足需更多研究驗證保護效果。

// This systematic review and meta-analysis examined the effectiveness of intratympanic (IT) agents in preventing cisplatin-induced hearing loss (CIHL). Ten randomized trials involving IT dexamethasone, N-acetylcysteine (NAC), and sodium thiosulfate (STS) were analyzed, with no significant overall hearing protection found for dexamethasone or NAC. Limited evidence suggests IT STS may reduce ototoxicity, but data were insufficient for meta-analysis. The study concludes that more research is needed to confirm any protective effects of IT agents against CIHL.

#Cisplatin#Hearing Loss#Antineoplastic Agents

Published 2026年7月21日

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