论文部分内容阅读
目的 :探讨提高单纯中耳畸形诊治水平的方法。方法 :回顾性分析 65耳单纯中耳畸形的临床资料。65耳中 ,砧骨畸形 57耳 (87.7% ) ,镫骨畸形 55耳 (84.6% ) ,其中砧骨长突和镫骨板上结构缺如及发育不全占多数。 1 8耳行鼓室探查术 (当时无 CT检查设备 ) ,47耳行听力重建术。结果 :行鼓室探查术的 1 8耳听力无改善。行听力重建的 47耳术后听力改善 44耳 (93.6% ) ,其中≥2 0 d B 32耳 (68.1 % )。随访 1年以上 ,听力稳定 44耳 ,无并发症发生。结论 :明确的术前诊断 ,选择合适的术式 ,是手术成功的关键。
Objective: To explore ways to improve the diagnosis and treatment of simple middle ear malformations. Methods: The clinical data of 65 cases of simple middle ear deformity were analyzed retrospectively. There were 57 ears (87.7%) with incus deformity and 55 ears (84.6%) with deformity of the ankle. Among them, the structure of the incus protuberance and the stapes plate was absent and most of the hypoplasia. 1 8 otorhinotomy (no CT examination equipment), 47 ear hearing reconstruction. Results: 18 cases of tympanic exploration did not improve hearing. Forty ears (93.6%) with auditory reconstruction after 47 ears improved hearing loss, with ≥2 days and 32 ears (68.1%). Follow-up more than 1 year, stable hearing 44 ears, no complications. Conclusion: A clear preoperative diagnosis, selection of appropriate surgical procedures is the key to successful operation.