耳内镜外科技术的精进之路  

The path to advancement in endoscopic ear surgery

作　　者：迟放鲁 高震 Chi Fanglu;Gao Zhen(Department of Otolaryngology-Head and Neck Surgery,Eye and ENT Hospital of Fudan University,Shanghai Auditory Medical Center,National Health Commission Key Laboratory of Auditory Medicine,Shanghai200031,China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科,上海市听觉医学临床中心,国家卫生健康委员会听觉医学重点实验室,上海200031

出　　处：《中华医学杂志》2024年第48期4355-4359,共5页National Medical Journal of China

基　　金：国家自然科学基金面上项目(81970889);上海市科委重点项目(22S31903100);复旦工研院医工结合项目(H2310120)。

摘　　要：耳内镜外科技术目前已广泛应用于中耳和侧颅底手术,推动着耳科手术向微创和功能保留的方向发展。耳内镜技术具有诸多优势,然而,其学习曲线相对陡峭,需要克服单手操作和空间感缺乏的挑战。通过深入的理论学习、参与颞骨解剖训练、循序渐进的手术实践,可逐步掌握此技术。耳内镜与显微镜双镜联用可进一步提高侧颅底手术的灵活性和精确性。重复解剖-观摩-手术实践和及时更新知识和技能是提高耳内镜手术效果的重要保障。Endoscopic ear surgery is currently widely applied in middle ear and lateral skull base procedures,driving the development of ear surgery towards minimally invasive approaches and function preservation.Endoscopic techniques offer many advantages.However,the learning curve is relatively steep,requiring surgeons to overcome challenges such as single-handed operation and a lack of spatial awareness.Through in-depth theoretical study,temporal bone dissection training,and gradual surgical practice,this technique can be gradually mastered.The combined use of endoscopy and microscopy further enhances the flexibility and precision of lateral skull base surgeries.Repeated cycles of anatomical study,observation,and practice,along with timely updates in knowledge and skills,lay the foundation for improving the outcomes of endoscopic ear surgery.

关 键 词：耳疾病 耳内镜外科技术 学习曲线 手术实践 双镜联合 

分 类 号：G63[文化科学—教育学]