镫骨切除术和镫骨足板造孔术的长期效果

[Long-term results of stapedectomy and stapedotomy].

作者信息

Plath P, Lenart R, Matschke R G, Kruppa E

机构信息

Klinik für Hals-, Nasen-, Ohrenkrankheiten, Ruhr-Universität Bochum.

出版信息

HNO. 1992 Feb;40(2):52-5.

PMID:1568887

Abstract

We have followed up 91 patients for 3 or more years after stapes surgery for otosclerosis, 59 by stapedectomy and 32 by stapedotomy. The surgical technique was chosen randomly. Both surgical techniques achieved significant hearing improvement, but in the higher frequencies (3 kHz) the results of stapedotomy are better and more stable than those after stapedectomy. Surgical revision was necessary in 5 patients--1 after stapedotomy, 4 after stapedectomy.

摘要

我们对91例因耳硬化症接受镫骨手术的患者进行了3年或更长时间的随访，其中59例行镫骨切除术，32例行镫骨足板钻孔术。手术技术是随机选择的。两种手术技术均使听力有显著改善，但在较高频率（3kHz）时，镫骨足板钻孔术的效果比镫骨切除术后的效果更好且更稳定。5例患者需要进行二次手术——镫骨足板钻孔术后1例，镫骨切除术后4例。