鼓室镜在鼓室病变诊断中的临床应用价值

• 作 者: 唐安洲 甘兆泉 周永 李杰恩 谭颂华
• 机 构: 广西医科大学第一附属医院耳鼻咽喉科!南宁530021,平南县人民医院五官科!本院进修医师,广西医科大学第一附属医院耳鼻咽喉科!南宁530021,广西医科大学第一附属医院耳鼻咽喉科!南宁530021,广
• 出 处: 广西医科大学学报
• 发表日期: 2000年01期
• 关键词: 鼓室 鼓室镜 中耳 传导性耳聋 鼓膜穿孔 鼓膜 咽鼓管鼓室口 分泌性中耳炎 听小骨 病变诊断

目的 :探讨中耳鼓室镜在鼓室病变诊断中的临床应用价值。方法 :鼓膜麻醉下 ,利用直径 1.7m m、 30度鼓室镜 ,观察了 34耳包括慢性中耳炎、临床耳硬化症、分泌性中耳炎等病变的鼓室结构。结果 :在 2 8耳鼓膜穿孔耳中 ,2 4耳能全部观察到听小骨、圆窗、卵圆窗和咽鼓管鼓室口 ,6耳中的 5耳发现有病变。结论 :鼓室镜检查简单、易行 ,对鼓膜穿孔耳或鼓膜正常耳的鼓室病变的诊断均有重要的临床应用价值。

Objective: To investigate the clinical value of middle ear tympanoscopy in the diagnosis of tympanic lesions. Methods: Under tympanic membrane anesthesia, the tympanic structures of 34 ears including chronic otitis media, clinical otosclerosis and secretory otitis media were observed by tympanoscope with a diameter of 1.7 m m and 30 degrees. RESULTS: In the ears of 28 eardrums, the ossicles, round window, oval window and eustachian tube tympanic cavity were observed in 24 ears. Lesions were found in the 5 ears of 6 ears. Conclusion: The tympanoscopy is simple and easy to perform. It has important clinical value in diagnosing the tympanic lesions of the tympanic membrane perforation ear or tympanic membrane.