耳内镜和显微镜下镫骨手术的比较

发布时间：2018-06-28 12:04

本文选题：耳内镜 + 显微镜　；参考：《中华耳科学杂志》2017年04期

【摘要】：目的采用回顾性研究方法,探讨总结耳内镜下镫骨手术的疗效及优缺点,为其临床应用提供参考。方法收集分析近两年来分别采用耳内镜下(14例)和显微镜下(20例)人工镫骨手术患者的临床资料,通过观察比较两组患者手术方式、手术时间、听力改善程度及术后并发症等的差别,分析耳内镜下镫骨手术的疗效和优势。结果两组患者术后气骨导差较术前均明显降低,差异具有统计学意义(P0.05)。两组病例术中术后并发症发生率无统计学差异。耳内镜组手术所需时间较显微镜组长,差异有统计学意义(P0.05)。然而,随着耳内镜下手术操作熟练程度的增加,后期两组病例之间手术所需时间的比较无统计学差异(P0.05)。结论耳内镜下行镫骨手术,在探查听骨链、重建听力方面,相对于显微镜下操作的优势在于观察仔细、视野清晰、创伤小、术后恢复快等,具有较好的推广应用价值。
[Abstract]:Objective to summarize the curative effect, advantages and disadvantages of endoscopic stapes surgery and to provide reference for its clinical application. Methods the clinical data of 14 patients with stapes prosthesis under endoscope and 20 patients with stapes prosthesis under microscope in recent two years were collected and analyzed. The differences of hearing improvement and postoperative complications were analyzed. Results the difference of air and bone conductance between the two groups was significantly lower than that before operation (P0.05). There was no significant difference in the incidence of postoperative complications between the two groups. The operative time in the endoscopic group was significantly different from that in the microscope group (P0.05). However there was no significant difference in the operation time between the two groups (P0.05). Conclusion the advantages of endoscopic stapes surgery in exploration of ossicular chain and reconstruction of hearing are careful observation, clear visual field, little trauma, quick recovery and so on.
【作者单位】：四川大学华西医院耳鼻咽喉头颈外科;成都上锦南府医院/四川大学华西医院上锦医院耳鼻咽喉头颈外科;
【基金】：四川省科技厅国际合作项目2016HH0064~~
【分类号】：R764.9

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