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逆行性镫骨足板开窗术治疗耳硬化症的疗效分析
作者姓名:Huang H  Wu P  Xu M  Ge R
作者单位:广东省人民医院广东省医学科学院耳鼻咽喉头颈外科,广州,510080
基金项目:广东省自然科学基金(No:10151008004000005)
摘    要:目的:探讨逆行性镫骨足板开窗术治疗耳硬化症的疗效。方法:回顾性分析2006-01-2009-12期间进行镫骨足板开窗术的耳硬化症70例(81耳),将其分为传统镫骨足板开窗术组41耳,逆行性镫骨足板开窗术组40耳,对2组的术后纯音测听结果、术中镫骨、砧骨并发症及术后眩晕发生率进行评估。结果:2组术后的气骨导差≤20dB的比例分别为70.7%和80.0%,差异无统计学意义(P>0.05)。逆行性镫骨足板开窗术的镫骨、砧骨并发症较少,而且术后眩晕发生率明显低于传统镫骨足板开窗术(P<0.05)。结论:逆行性镫骨足板开窗术能有效的提高耳硬化症患者的听力,并能减少手术并发症。

关 键 词:耳硬化症  镫骨足板开窗术  逆行性  

The effect of reversal steps stapedotomy on the treatment of otosclerosis
Huang H,Wu P,Xu M,Ge R.The effect of reversal steps stapedotomy on the treatment of otosclerosis[J].Journal of Clinical Otorhinolaryngology,2011,25(22):1022-1024.
Authors:Huang Hongming  Wu Peina  Xu Mimi  Ge Runmei
Institution:HUANG Hongming WU Peina XU Mimi GE Runmei(Department of Otolaryngology-Head and Neck Surgery,Guangdong General Hospital,Guangdong Academy of Medical Sciences,Guangzhou,510080,China)
Abstract:Objective:To determine the efficacy of reversal steps stapedotomy in the treatment of otosclerosis.Method:From January 2006 to December 2009,a total of 70 patients(81 ears) with otosclerosis who underwent stapedotomy were retrospectively evaluated.Among these 81 ears,41 ears underwent classical stapedotomy and 40 ears underwent reversal steps stapedotomy.We compared the postoperative results of pure tone test,the intraoperative complications of stapes and incus and the incidence rate of postoperative vertig...
Keywords:otosclerosis  stapedotomy  reversal steps  
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