中耳肌肉阵挛性耳鸣的诊断与治疗  

Diagnosis and treatment of middle ear myoclonic tinnitus

作　　者：倪天翼 韩朝 NI Tianyi;HAN Zhao(Department of Otorhinolaryngology,HuaDong Hospital Affiliated to Fudan University,Shanghai,200040,China)

机构地区：[1]复旦大学附属华东医院耳鼻咽喉科,上海200040

出　　处：《临床耳鼻咽喉头颈外科杂志》2024年第11期1081-1084,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：上海市科委项目(No:20Y11902300)。

摘　　要：中耳肌肉阵挛性耳鸣是因镫骨肌或者鼓膜张肌异常收缩感知到的耳内异响。诊断手段包括病史询问、体格检查和听力学检查等。明确诊断需要通过鼓室探查下直视肌阵挛。首选病因治疗,同时辅以行为治疗和药物治疗,无效时考虑手术。本文就中耳肌肉阵挛性耳鸣的诊断与治疗进行综述。Middle ear myoclonus tinnitus is an abnormal sound perceived by unusual contraction of the stapes muscle or tensor tympani muscle.The current diagnostic methods include medical history inquiry,physical examination and audiological tests.The diagnosis was confirmed by tympanic exploration of myoclonus.Etiological treatment is considered to be the first treatment of choice,supplemented by behavior therapy and pharmacotherapy.Surgery will be performed when conservative treatment fails.This article reviews the diagnosis and treatment of middle ear myoclonus tinnitus.

关 键 词：中耳肌肉阵挛 耳鸣 诊断 治疗 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]