并发于胆脂瘤型中耳炎的迷路瘘管临床特征分析

发布时间：2018-03-03 06:09

  本文选题：迷路瘘管　切入点：胆脂瘤型中耳炎　出处：《临床耳鼻咽喉头颈外科杂志》2015年10期 　论文类型：期刊论文

【摘要】：目的:探讨迷路瘘管的相关临床特征,了解不同类型瘘管术前诊断、术中处理以及预后情况。方法:回顾性分析我院2007-01-2014-11期间收治的42例(43耳)迷路瘘管病例,收集其术前临床表现、听力学检测结果、影像学数据、术中所见及处理方式和术后恢复情况,并进行统计学分析。结果:根据术中所见确诊的42例(43耳)患者中,有39例(40耳)的迷路瘘管发生在外半规管,1例发生在后半规管,1例在上半规管,1例同时伴有外半规管和后半规管瘘。术前24耳(55.8%)表现有眩晕症状,14耳(32.6%)出现了骨导听力受损。根据Dornhoffer分型标准,结合术中所见,确诊为Ⅰ型瘘管22例(23耳),Ⅱ型瘘管9例,Ⅲ型瘘管11例。比较3组间术前听力损失分型、眩晕发生率、CT诊断阳性率、面神经骨管受损率、术后骨导听力变化率、术后眩晕发生率均差异无统计学意义(均P0.05)。结论:术前临床症状、听力及CT等客观检查并不能完全准确诊断迷路瘘管的发生,其确诊需要依靠术中所见,手术处理方式需依据病变情况个体化处理,不同类型迷路瘘管的预后无明显差异。
[Abstract]:Objective: to investigate the clinical features of labyrinthine fistula, to understand the preoperative diagnosis, intraoperative treatment and prognosis of different types of fistula. Methods: 42 cases of labyrinthine fistula treated in our hospital from January to November 2007 were retrospectively analyzed. The clinical manifestations before operation, audiological examination results, imaging data, intraoperative findings and treatment methods and postoperative recovery were collected and analyzed statistically. Results: 42 cases (43 ears) were diagnosed according to intraoperative findings. There were 39 cases of labyrinthine fistula with external semicircular canal, 1 case with posterior semicircular canal, 1 case with upper semicircular canal and 1 case with external semicircular canal and posterior semicircular canal fistula. Guided hearing loss. According to Dornhoffer classification criteria, Combined with intraoperative findings, 22 cases of type 鈪，

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