论文部分内容阅读
目的总结颞骨骨折的诊治效果。方法回顾性分析1997～2004年诊治106例颞骨骨折的临床资料。其中,行开颅术4例,骨折复位术14例,清创缝合术45例,乳突探查止血术6例,中耳乳突探查加听骨链重建术3例,中耳乳突探查加面神经管减压术1例,外耳道骨折复位术5例。结果106例中转院和自动出院14例。面瘫恢复7例,好转2例。听力下降、眩晕多数恢复,其他不同程度改善。结论以外伤史及6大征象为依据,结合颞骨CT进行诊断。治疗危重者按“抢救诊断治疗”原则进行,急救按保证呼吸道通畅,呼吸道管理,循环系统的稳定、保温、吸氧、对症手术等顺序进行;为更好地确定骨折部位指导治疗,必要时应行高分辨率CT扫描。
Objective To summarize the diagnosis and treatment of temporal bone fracture. Methods The clinical data of 106 patients with temporal bone fractures diagnosed and treated from 1997 to 2004 were retrospectively analyzed. Among them, 4 cases of craniotomy, fracture reduction in 14 cases, 45 cases of debridement and suturing, mastoid exploration hemostasis in 6 cases, middle ear mastoidus exploration plus ossicular chain reconstruction in 3 cases, exploration of middle ear papilla Facial nerve canal decompression in 1 case, external auditory canal reduction in 5 cases. Results 106 cases of transfer and automatic discharge in 14 cases. Facial paralysis recovered in 7 cases, improved in 2 cases. Hearing loss, dizziness most recovered, the other improved to varying degrees. Conclusion Based on the history of trauma and 6 major signs, combined with temporal bone CT diagnosis. The treatment of critically ill patients according to the principle of “rescue diagnosis and treatment”, first aid by ensuring patency, respiratory management, stability of the circulatory system, insulation, oxygen, symptomatic surgery and other procedures; to better determine the fracture site guidance and treatment, if necessary High-resolution CT scan.