人工耳蝸植入術(shù)中發(fā)現(xiàn)耳蝸骨化2例報(bào)告及文獻(xiàn)綜述
發(fā)布時(shí)間:2018-06-04 21:09
本文選題:耳蝸骨化 + 病因; 參考:《浙江大學(xué)》2016年碩士論文
【摘要】:耳蝸骨化是內(nèi)耳炎性反應(yīng)的后遺癥,而各種疾病引發(fā)的內(nèi)耳炎癥反應(yīng)同樣可導(dǎo)致感音神經(jīng)性聾,當(dāng)感音神經(jīng)性聾為雙側(cè)重度或極重度時(shí),就需要人工耳蝸植入手術(shù)。但是當(dāng)耳蝸骨化時(shí),尤其是蝸管完全骨化時(shí),在手術(shù)中將電極順利插入耳蝸會(huì)是一項(xiàng)艱難的任務(wù),對(duì)手術(shù)醫(yī)生很有挑戰(zhàn)性。本文回顧性分析浙江大學(xué)醫(yī)學(xué)院附屬第二醫(yī)院耳鼻咽喉科在2004年4月至2015年12月期間全部人工耳蝸植入手術(shù)病例,共518多例,其中術(shù)中發(fā)現(xiàn)2例耳蝸骨化。本文予以詳細(xì)報(bào)道該2例耳蝸骨化病例,并檢索復(fù)習(xí)國(guó)內(nèi)外相關(guān)文獻(xiàn),總結(jié)了其常見(jiàn)病因及機(jī)制,探討診斷方法以及手術(shù)技術(shù),以期加強(qiáng)對(duì)耳蝸骨化的認(rèn)識(shí),提高術(shù)前診斷和術(shù)中處理技術(shù)。
[Abstract]:Cochlear ossification is the sequelae of inner ear inflammatory reaction, and the inflammatory reaction of inner ear caused by various diseases can also lead to sensorineural deafness. When sensorineural deafness is bilateral or extremely severe, cochlear implantation is required. However, when cochlea ossification, especially when cochlear canal ossification is complete, it is a difficult task to insert electrode into cochlea during operation, which is very challenging for the surgeon. From April 2004 to December 2015, more than 518 cases of cochlear implantation in the Department of Otorhinolaryngology, affiliated to the second affiliated Hospital of Zhejiang University Medical College, were retrospectively analyzed. Two cases of cochlear ossification were found during the operation. This paper reports in detail the two cases of cochlear ossification, reviews the relevant literatures at home and abroad, summarizes the common etiology and mechanism, probes into the diagnostic methods and surgical techniques, in order to enhance the understanding of cochlear ossification. To improve preoperative diagnosis and intraoperative management.
【學(xué)位授予單位】:浙江大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2016
【分類(lèi)號(hào)】:R764.9
【參考文獻(xiàn)】
相關(guān)期刊論文 前2條
1 張道行;;蝸軸骨化的人工耳蝸手術(shù)與術(shù)后神經(jīng)電生理評(píng)價(jià)與主觀(guān)檢測(cè)[J];臨床耳鼻咽喉頭頸外科雜志;2014年16期
2 劉中林;劉博;何海麗;王振常;付琳;李永新;鄭軍;陳雪清;宋妍;李勇;鮮軍舫;楊本濤;蘭寶森;;人工耳蝸植入術(shù)前的影像學(xué)評(píng)估[J];中華放射學(xué)雜志;2006年12期
,本文編號(hào):1978835
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