摘要
目的:探讨鼓膜完整、咽鼓管通畅的传导性聋患者之镫骨手术的疗效。方法:回顾性分析95例鼓膜 完整、咽鼓管通畅的传导性聋的镫骨手术资料,比较耳硬化症、单纯中耳畸形、外耳道狭窄畸形之镫骨 卵圆窗外 科治疗的效果。结果:术后4周听阈均值显示:利用砧骨的卵圆窗开窗术优于砧骨 镫骨底板连接术(P<0.05); 3组中外耳道狭窄畸形优于耳硬化症及单纯中耳畸形组(P<0.05);生理性镫骨底板切除术与利用砧骨的卵圆 窗开窗术差异无统计学意义。随访1～3年,除镫骨撼动术(8/14)的听阈均值又同于术前水平外,其余均保持术 后近期听力水平。结论:镫骨手术应用于镫骨
Objective:To investigate the effect of stapes surgery for conductive hearing loss with intact tympanic membrane and eustachian tube.Method:Stapes surgery data of 95 conductive hearing loss patients, which with intact tympanic membrane and eustachian tube, was retrospective analyzed,and the surgical effect of otosclerosis, middle ear deformities and external canal stenosis was summarized.Result:Postoperative (4 weeks after the surgery) pure tone threshold test demonstrated that the effect of Vestibulotomy was better than incus-footplate connection (incus and footplate is connected by a cortical bone ) (P< 0.05).The surgery to the patients with external canal stenosis was better than those with otosclerosis or middle ear deformities (P< 0.05).There was no statistic significance between physiological stapedectomy and Vestibulotomy. The follow-up of 1-3 years showed that the pure tone threshold of 8 out of 14 cases reverted to the preoperative level, while the hearing improvement in the other cases still remained.Conclusion:Stapes surgery to the patients with stapes-oval window deformities is of significance compared with those with otosclerosis.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2005年第1期9-11,共3页
Journal of Clinical Otorhinolaryngology
关键词
耳硬化病
中耳畸形
镫骨畸形
镫骨切除术
前庭开窗术
Otosclerosis
Middle ear deformities
Stapes deformities
Stapedectomy
Vestibulotomy
