| 仅存单侧听力耳的鼓室成形术 |
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| 引用本文： | 邓亚新,陈文文. 仅存单侧听力耳的鼓室成形术[J]. 临床耳鼻咽喉头颈外科杂志, 2002, 16(4): 156-157 |
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| 作者姓名： | 邓亚新 陈文文 |
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| 作者单位： | 上海市第一人民医院分院(即第四人民医院)耳鼻咽喉科,上海,200081 |
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| 摘 要： | 目的 :探讨仅存单耳听力胆脂瘤根治和听力重建的可行性。方法 :回顾分析 1990～ 2 0 0 0年间在我院手术的 15例仅存单耳听力的传导性耳聋手术后的听力改善情况。鼓室成形Ⅲ型 6耳 ,Ⅰ型 5耳 ;乳突或上鼓室根治 4耳 ,其中 3耳同时行鼓室成形Ⅲ型 ,1耳仅作复发的胆脂瘤清除。结果 :15耳均干耳。除 3耳听力不变或气骨导差缩小不足 10dB外 ,余 12耳 (80 %)均有不同程度的提高。缩小 30dB以上的 2耳 ,2 0dB以上 6耳 ,10dB 4耳 ,P <0 .0 1。无一耳发生术耳感音功能下降。结论 :对于仅存单侧听力的胆脂瘤型中耳炎根治和听力重建是可行的 ,但需加倍小心谨慎 ,动作要轻柔 ,最大程度地减少对内耳的扰动 ,并由经验丰富的医师担当手术。
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| 关 键 词： | 鼓室成形术 感音神经性耳聋 |
| 文章编号： | 1001-1781(2002)04-0156-02 |
| 修稿时间： | 2001-07-24 |
Tympanoplasty in the only hearing ear |
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| DENG Yaxin CHEN Wenwen. Tympanoplasty in the only hearing ear[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2002, 16(4): 156-157 |
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| Authors: | DENG Yaxin CHEN Wenwen |
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| Affiliation: | Shanghai Fourth People's Hospital, Shanghai 200081. |
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| Abstract: | Objective:To evaluate result of tympanoplasty in only hearing ear.Method:15 cases were analyzed retrospectively. All cases were operated by tympanoplasty for middle ear diseases with conductive deafness. The contralateral ears of all cases had sensorineural deafness.Result:All ears obtained dry ear and 80% ears obtained hearing improvement.Conclusion:Tympanoplasty is availability in only hearing ear with middle ear diseases, but operation must be manipulated by senior expert. |
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| Keywords: | Tympanoplasty Sensorineural deafness |
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