CT定位行外耳道闭锁手术21例  

The experiences of atresia surgery under the direction of HRCT

作　　者：张道行[1] 李玉洁[1] 丁秀勇[1] 田昊[1] 

机构地区：[1]首都医科大学附属北京友谊医院耳鼻咽喉科,北京100050

出　　处：《临床耳鼻咽喉科杂志》2005年第13期600-602,共3页Journal of Clinical Otorhinolaryngology

摘　　要：目的:探讨使用CT定位打开骨性外耳道闭锁板行外耳道成形术治疗先天性小耳并外耳道闭锁的有效性和安全性。方法:对21例(22耳)先天性小耳并外耳道闭锁进行术前高分辨率CT检查,术前在CT定位和指导下打开骨性外耳道,一期进行耳廓、外耳道、中耳成形。结果:术后随访8个月～4年,听力平均提高28dB,耳廓外观满意,无外耳道再狭窄或闭锁。结论:高分辨CT定位、指导下打开骨性外耳道安全、快捷,一期进行耳廓、外耳道、中耳成形能达到满意的手术效果。Objective:To probing the efficacy and safety of the utility of HRCT in the auditory rehabilitation surgery for the treatment of congenital aural atresia.Method:HRCT were performed before the operation in 21(22 ears) congenital aural atresia cases, one stage reconstruction surgery of auricle , external auditory meatus and middle ear were performed under the direction of HRCT.Result:The 21 cases were followed up for 8 months to 4 years after operation and hearing improvement was 28 dB,no canal restenosis complications were occurred. The shape of auricle were satisfy.Conclusion:It is efficacious and safe to perform auditory rehabilitation surgery under the direction of HRCT.

关 键 词：先天性外耳道闭锁 外耳道成形术 体层摄影术 X线计算机 

分 类 号：R764[医药卫生—耳鼻咽喉科]