摘要
为评估镫骨提高术的实际应用价值，对随访１～１２年（平均６．７±３．４年）３８耳镫骨提高术进行分析。结果表明镫骨提高术听力效果满意，近期有效率（听力增进１０ｄＢ以上）为９４．７％，远期有效率为８６．８％。远期听力回降率及回降程度分析均显示了较好的稳定性，与文献报道的人工镫骨手术相仿。未见近期或远期严重感音性听力下降。术后前庭反应轻微，恢复迅速，再次手术成功率远高于人工镫骨术者。手术简便、易学。术中如足弓折断不能继续行镫骨提高术时可改行人工镫骨术。认为镫骨提高术可用作镫骨手术首先考虑的术式。
To assess the clinical value of stapes elevation, 38 cases had been followed-up for 1～12 years(average 6.7 years). The results revealed that hearing improvement rate (over 10dB) was 94.7% in short term and 86.8% in long term follow-up .The long term regression rate was similar to that in stapedectomy, and no severe sensorineural hearing loss occurred. In addition, the vestibular reaction was slight, especially in reoperated cases.The stapes elevation was easy to perform as compared with stapedectomy. Therefore, this technique may be the first choice for stapes surgery.
出处
《中华耳鼻咽喉科杂志》
CSCD
1997年第6期360-362,共3页
Chinese Journal of Otorhinolaryngology
关键词
耳硬化病
镫骨
外科手术
疗效
Otosclerosis Stapes surgery Follow-up studies
