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镫骨手术治疗耳硬化症在国内医院多数耳鼻喉科医生已应用于临床,我科在文化大革命前对镫骨手术仅限于镫骨撼动术,而且病例较少,近年来在院党委正确领导下,科内同志的协力下,较大幅度地开展这种手术。自1972年底至1977年10月止共收治59个病例,其中3例为先天性镫骨畸形外,余56例62耳为耳硬化症,采用镫骨手术治疗。现将其简况叙述于下: 一、适应证选择 1、临床诊断属于耳硬化症者; 2、早期耳硬化症病人听力丧失为30分贝,这种病例也可行镫骨撼动术; 3、较晚期耳硬化症,病人希望提高气导听力者,即使骨导下降在45-50分贝者,也可行镫骨手术,甚至骨导听力在1000频率以上测不到的情况下,但语言辨别率良好时,也可试行镫骨手术。
Tarsus surgery for otosclerosis Most otolaryngologists in domestic hospitals have been used in clinical practice. Before the Cultural Revolution, our department limited the tarsal osteotomy to tarsal osteotomy and had fewer cases. In recent years, under the correct leadership of the hospital party committees, Under the joint efforts of Comrade Koei, this kind of operation has been carried out more drastically. From the end of 1972 to October 1977 a total of 59 cases were treated, of which 3 cases of congenital tarsal deformity, the remaining 56 cases of 62 ears of otosclerosis, tarsus surgery. Now its profile is described in the following: First, the indications choice 1, clinical diagnosis of ear sclerosis; 2, early ear sclerosis patients with hearing loss of 30 dB, this case is also feasible tarsal bone surgery; 3, more advanced Otosclerosis, patients want to improve air conduction hearing, even if the bone conduction decreased 45-50 decibels, but also feasible stapes operation, and even bone conduction hearing measured at frequencies above 1000, but the language recognition rate is good , But also trial tarsus surgery.