摘要
中耳胆脂瘤的手术方式在经历了对中耳生理学、胆脂瘤的生物学特性的不断了解和认识,经由一代又一代耳科医生的修正和改良过程后,日臻成熟与完善。但仍有不尽如人意之处。例如,避免开放式手术的同时,如何提高病灶清除率;如何降低术后胆脂瘤复发率等核心问题。耳内镜技术,与显微镜技术相比,有其独一无二的优势,将耳内镜技术引入中耳胆脂瘤外科治疗过程中是必然的趋势,它的介入有助于清除隐匿病灶和保留耳道内正常结构。本文主要针对耳内镜技术在中耳胆脂瘤外科治疗中的使用方法和手术治疗策略进行简要的概述和介绍。
As knowledge of middle ear physiology and biological characteristics of cholesteatoma continues to advance, surgical techniques for middle ear cholesteatoma are constantly being refined by generations of otologists. Despite the dramatic improvement made so far, there are still problems to be solved, such as improving pathology removal rate while avoiding CWD operations, and lowering recurrence rate. When endoscopic techniques were introduced for middle ear surgery, they brought remarkable changes and innovations. Compared with microscopic approach, endoscopic techniques show unique advantages with multiple angles and magnification,which facilitate removal of hiding cholesteatoma matrix while preserving normal external ear canal structures.This article will summarize some strategies and experience of endoscopic techniques as applied in middle ear surgeries for cholesteatoma.
出处
《中华耳科学杂志》
CSCD
北大核心
2017年第4期393-397,共5页
Chinese Journal of Otology
关键词
中耳胆脂瘤
耳内镜手术
显微镜手术
联合入路
Middle Ear Cholesteatoma
Endoscopic Ear Surgery
Microscopic Ear Surgery
Combined Approach
