發(fā)布時間：2018-03-03 06:09

  本文選題：迷路瘺管　切入點：膽脂瘤型中耳炎　出處：《臨床耳鼻咽喉頭頸外科雜志》2015年10期 　論文類型：期刊論文

【摘要】：目的:探討迷路瘺管的相關(guān)臨床特征,了解不同類型瘺管術(shù)前診斷、術(shù)中處理以及預(yù)后情況。方法:回顧性分析我院2007-01-2014-11期間收治的42例(43耳)迷路瘺管病例,收集其術(shù)前臨床表現(xiàn)、聽力學(xué)檢測結(jié)果、影像學(xué)數(shù)據(jù)、術(shù)中所見及處理方式和術(shù)后恢復(fù)情況,并進(jìn)行統(tǒng)計學(xué)分析。結(jié)果:根據(jù)術(shù)中所見確診的42例(43耳)患者中,有39例(40耳)的迷路瘺管發(fā)生在外半規(guī)管,1例發(fā)生在后半規(guī)管,1例在上半規(guī)管,1例同時伴有外半規(guī)管和后半規(guī)管瘺。術(shù)前24耳(55.8%)表現(xiàn)有眩暈癥狀,14耳(32.6%)出現(xiàn)了骨導(dǎo)聽力受損。根據(jù)Dornhoffer分型標(biāo)準(zhǔn),結(jié)合術(shù)中所見,確診為Ⅰ型瘺管22例(23耳),Ⅱ型瘺管9例,Ⅲ型瘺管11例。比較3組間術(shù)前聽力損失分型、眩暈發(fā)生率、CT診斷陽性率、面神經(jīng)骨管受損率、術(shù)后骨導(dǎo)聽力變化率、術(shù)后眩暈發(fā)生率均差異無統(tǒng)計學(xué)意義(均P0.05)。結(jié)論:術(shù)前臨床癥狀、聽力及CT等客觀檢查并不能完全準(zhǔn)確診斷迷路瘺管的發(fā)生,其確診需要依靠術(shù)中所見,手術(shù)處理方式需依據(jù)病變情況個體化處理,不同類型迷路瘺管的預(yù)后無明顯差異。
[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，

本文編號：1559830