摘要
目的总结颞骨骨折的诊治效果。方法回顾性分析1997～2004年诊治106例颞骨骨折的临床资料。其中,行开颅术4例,骨折复位术14例,清创缝合术45例,乳突探查止血术6例,中耳乳突探查加听骨链重建术3例,中耳乳突探查加面神经管减压术1例,外耳道骨折复位术5例。结果106例中转院和自动出院14例。面瘫恢复7例,好转2例。听力下降、眩晕多数恢复,其他不同程度改善。结论以外伤史及6大征象为依据,结合颞骨CT进行诊断。治疗危重者按“抢救诊断治疗”原则进行,急救按保证呼吸道通畅,呼吸道管理,循环系统的稳定、保温、吸氧、对症手术等顺序进行;为更好地确定骨折部位指导治疗,必要时应行高分辨率CT扫描。
Objective:To summarize the effects of diagnose and therapy the fracture of temporal bone in phase of emergency. Method: Retrospectively analyse clinical data of the 106 cases of fracture of temporal bone from 1997 to 2004. Among there are 4 cases were craniotomy, 14 cases were reduction of fracture and 45 cases were debridement suture in the emergency, 6 cases were mastoid-otomy and hemostasis, 3 cases were mastoid exploratory operation and reconstruction of ossicular chain, 1 cases were mastoid exploratory operation and decompression of facial canal, 5 cases wer reduction of fracture on extermal auditory canal. Result: Fourteen cases were methospital and antodischarge. 7 cases of facial paralysis are recovered and 2 cases are improved. Descent of audile and vertigo are multirecovery, other are amelioration. Conclusion: Diagnoses are based on history of wound and six signs of trauma and the result of CT diagnosis. Critically illed patients are treated according to the principle of “rescue-diagnosis- therapy”. Emergency are handling in the sequence :airway were unobstructed、breathing were management、circulatory system were stabilizing、 heat preservation 、oxygen inhalation and expectant operation. The HRCT were necessary for better instruction therapy with spot of fracture were definition.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2005年第4期155-156,共2页
Journal of Clinical Otorhinolaryngology
关键词
颞骨
骨折
耳损伤
面神经
Temporal bone
Fractures
Ear,injuries
Facial nerve
