摘要
目的 耳内窥镜在中耳疾病诊治中的作用。方法 使用内窥镜系统对300例(340耳)耳病患者进行了诊治,并对其中57例(68耳)分泌性中耳炎进行了穿刺抽液注药或置管治疗,42例(50耳)慢性化脓性中耳炎进行了吸脓、去肉芽及胆脂瘤治疗,15例(17耳)胆脂瘤中耳炎术后清理术腔病变,以及21例(21耳)干性鼓膜穿孔进行了鼓膜修补术。结果 发现内窥镜的应用使中耳疾病的诊断率从常规检查的93.5％提高到100％,内窥镜下对分泌性中耳炎、慢性化脓性中耳炎、胆脂瘤中耳炎术后复发及干性穿孔的鼓膜修补治愈率分别为75％、88％、100％及95.2％。结论 耳内窥镜具有图像清晰、操作简便、不同视角、损伤小等优点,有利中耳疾病的诊治,应积极推广。
Objective To explore the effects of endoscope in the diagnosis and treatment of middle ear diseases. Methods Three hundreds-cases (340 ears) with diseases of middle ear were diagnosed by endoscope. Fifty - seven cases (68 ears) with secretory otitis media in 300 patients were treated by paracentesis of the ear drum and implantation of ventilating tube under endoscope. Forty-two cases (50 ears) with chronic suppurative otitis media were treated by absorbing pus and removing granulation and cholesteatoma, Fifteen patients (17 ears) with post - radical - mastoidectomy were treated by clearing cholesteatoma of operated cavity, 21 cases (21 ears) with eardrum perforation were treated by myringoplasty. Results The correct diagnostic of middle ear diseases raised from 93.5% to 100% after using endoscope, and the cure rate was from 75% to 100% . Conclusions The virtue of endoscope included image clarity, operation convenient, different visual angle and small damage. It was advantageous to the diagnosis and treatment of middle ear diseases with endoscope.
出处
《中华耳科学杂志》
CSCD
2003年第3期33-35,共3页
Chinese Journal of Otology
关键词
耳
内窥镜
诊断
治疗
Ear
Endoscope
Diagnosis
Treatment
