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人工耳蜗植入是目前治疗重度-极重度感音神经性耳聋的最有效手段。如何实现微创、保留残余听力并进一步提高疗效、降低手术并发症是人工耳蜗植入实践追求的目标。本文从微创人工耳蜗植入的理念、电声联合刺激优势及效果评估、电极植入技术要点、手术切口设计、围手术期精准处理等方面介绍微创人工耳蜗植入技术。该技术不仅术中损伤小，有利于术后患者听力言语康复，还为未来基因治疗和毛细胞再生技术的应用预留了良好的结构和功能空间；因此，推荐微创人工耳蜗植入在临床推广。“,”Cochlear implantation is currently the most effective treatment for patients with severe-to-profound sensorineural hearing loss. How to achieve minimally invasive treatment, preserve the residual hearing, and further improve curative effect and reduce surgical complications is the goal of cochlear implantation practice. This article introduces the minimally invasive cochlear implantation technique in terms of the idea of minimally invasive operation, the advantages of electric acoustic stimulation, the key points of electrode implantation technique, the design of surgical incision, and the precise processing of perioperative period. This technique not only has the merits of less operative damage and better hearing and speech rehabilitation after surgery, but also reserves favorable structures and function for the future application of gene therapy and hair cell regeneration technique. Therefore, it is strongly recommended for further promotion in clinical practice.