持续灌流模式下耳内镜人工镫骨植入术治疗耳硬化症的效果  

Clinical outcomes of endoscopic stapedotomy under continuous irrigating mode for otosclerosis

作　　者：杨希林[1] 廖华[1] 徐勇[1] 汪雷[1] 王文静[1] 任杰[1] 张志坚[1] Yang Xilin;Liao Hua;Xu Yong;Wang Lei;Wang Wenjing;Ren Jie;Zhang Zhijian(Department of Otolaryngology Head and Neck Surgery,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院耳鼻咽喉头颈外科,武汉430060

出　　处：《中华医学杂志》2025年第8期621-624,共4页National Medical Journal of China

摘　　要：本研究拟探讨持续灌流模式下耳内镜人工镫骨植入术治疗耳硬化症的效果。回顾性分析2022年3月至2023年2月武汉大学人民医院耳鼻咽喉头颈外科在耳内镜手术持续灌流模式(CIM-EES)下完成镫骨开窗+人工镫骨植入术的耳硬化症患者临床资料,探讨其应用于人工镫骨手术的安全性及有效性。共纳入18例(19耳)患者,男3例,女15例,年龄(31.4±10.4)岁。与术前相比,患者术后3个月平均骨导听力无升高[(17.23±4.67)比(17.30±4.68)分贝听力水平(dB HL),P=0.920],而平均气导听阈[(27.04±6.18)比(52.63±8.01)dB HL,P<0.001]及气骨导差[(9.80±4.63)比(35.33±8.62)dB HL,P<0.001]均改善。可见,CIM-EES下人工镫骨植入术治疗耳硬化症效果良好。The current study aimed to explore clinical outcomes of endoscopic stapedotomy under continuous irrigating mode(CIM)for otosclerosis.Patients who underwent CIM of endoscopic ear surgery(CIM-EES)at the Department of Otolaryngology Head and Neck Surgery,Renmin Hospital of Wuhan University between March 2022 and February 2023 were retrospectively included.Relevant clinical data were collected,and the safety of and effectiveness of CIM-EES was explored.A total of 18 patients(19 ears)(3 males and 15 females)aged(31.4±10.4)years were included in the study.Compared with preoperative results,the patient′s average bone conduction threshold did not increase 3 months after surgery[(17.23±4.67)vs(17.30±4.68)decibel hearing level(dB HL),P=0.920].However,the average air conduction threshold[(27.04±6.18)vs(52.63±8.01)dB HL,P<0.001]and the air-bone gap[(9.80±4.63)vs(35.33±8.62)dB HL,P<0.001]were significantly improved.The current study indicates that CIM-EES has good efficacy in stapedotomy.

关 键 词：耳硬化症 耳内镜 耳内镜手术持续灌流模式 人工镫骨手术 

分 类 号：R764.9[医药卫生—耳鼻咽喉科]