耳内镜下中耳功能性手术理念的应用实践  

Application of endoscopic functional surgery concept on middle ear surgery

作　　者：王方园 王洪敏 杨仕明 侯昭晖 WANG Fangyuan;WANG Hongmin;YANG Shiming;HOU Zhaohui(College of Otolaryngology Head and Neck Surgery,the First Medical Center of Chinese PLA General Hospital,National Clinical Research Center for Otolaryngologic Diseases,Key Lab of Hearing Science,Ministry of Education,Beijing Key Lab of Hearing Impairment for Prevention and Treatment,Beijing,100853,China;Department of Otolaryngology,Chaoyang Central Hospital,Liaoning)

机构地区：[1]中国人民解放军总医院第一医学中心,耳鼻咽喉头颈外科医学部,国家耳鼻咽喉疾病临床医学研究中心聋病教育部重点实验室,聋病防治北京市重点实验室,北京100853 [2]辽宁省朝阳市中心医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2020年第11期1030-1034,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：北京市科技新星计划(No:Z201100006820133)。

摘　　要：目的:总结耳内镜下中耳手术中建立中耳通气引流的经验。方法:回顾性分析我科2016—2018年间收治的耳内镜下实施中耳手术的患者资料,对其手术中进行中耳通气引流重建的方法进行了总结。结果:收集耳内镜下中耳手术患者共296例(300耳),其中涉及咽鼓管处理者46例,涉及中上鼓室引流处理者241例,涉及中耳含气腔重建者185例。结论:随着内镜技术在耳科应用的不断扩展和耳科医生对手术理念及中耳生理功能认识的不断深入,利用耳内镜在实现微创的前提下,可以更加精准地实现和重建中耳通气和引流的功能。Objective:To summarize the experience of establishing middle ear ventilation in endoscopic middle ear surgery.Method:A retrospective analysis was performed on the patients who have received a middle ear endoscopic surgery in our department from 2016 to 2018.The method of reconstructing middle ear ventilation was summarized.Result:A total of 300 ears from 296 paitents were collected.Fourty six of the 300 patients had eustachian tube problems,241 had problems of ventilation between epitympanum and mesotympanum,and 185 had need of ventilation cavity reconstruction.Conclusion:With the continuous expansile application of endoscopic technology in the ear surgery and the deepening understanding of otologists on both the surgical concept and the physiological function of the middle ear,the use of endoscopy can achieve the goal of removing lesions accurately and preserving or reconstructing the function on the premise of minimally invasion.

关 键 词：中耳功能性手术 中、上鼓室通气 鼓峡 咽鼓管 

分 类 号：R764[医药卫生—耳鼻咽喉科]