耳内窥镜在耳硬化症人工镫骨手术中的应用研究  

Ear endoscope applied in otosclerosis artificial stapes surgery

作　　者：王炜[1] 徐家兔[1] 戴国平[1] 刘平[1] Wei Wang;Jia-tu Xu;Guo-ping Dai;Ping Liu(Department of Otorhinolaryngology, Shaoxing People’s Hospital, Shaoxing, Zhejiang 312000, China)

机构地区：[1]浙江省绍兴市人民医院耳鼻咽喉科,浙江绍兴312000

出　　处：《中国内镜杂志》2017年第2期58-61,共4页China Journal of Endoscopy

摘　　要：目的探讨耳内窥镜在耳硬化症人工镫骨手术中的应用。方法对64例耳硬化患者分别采用显微镜或耳内窥镜两种放大设备下行人工镫骨手术,对手术所需时间及术后手术效果进行分析和总结。结果两组患者术后听力均明显改善,气骨导差均较术前降低,差异有统计学意义(P<0.05),患者术中术后均无任何并发症,耳内窥镜组手术所需时间比显微镜组稍长,但两组手术所需时间比较差异无统计学意义(P>0.05)。结论耳内窥镜下行人工镫骨手术,探查听骨链,重建听力,图像清晰、创伤小,与显微镜下手术相比较具有自已独特的优势。Objective To investigate the application of ear endoscopic in artificial stapes surgery of otosclerosis. Methods Artificial stapes surgery was performed by two amplification device, microscope or ear endoscope, in 64 cases of patients with otosclerosi. Then compare the operation time and analyze the effect of surgery. Results Patients postoperative hearing of the two groups were significantly improved, the difference of air bone conduction was statistically significant (P < 0.05). There has no postoperative complications of all the patients.While the operation time was slightly longer in ear endoscope group than that in microscope group, and the difference has statistical significance (P > 0.05). Conclusion Compared with microscopic surgery, ear endoscope artificial stapes surgery has its’ unique advantages with clear image and small trauma.

关 键 词：耳内窥镜 显微镜 耳硬化症 

分 类 号：R764.32[医药卫生—耳鼻咽喉科]