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[皮肤切口在人工耳蜗植入中对接收刺激器的安全覆盖作用]

[The role of a cutaneous cut in safe covering of a receiver-stimulator in cochlear implantation].

作者信息

Fedoseev V I

出版信息

Vestn Otorinolaringol. 2005(2):40-2.

Abstract

The aim of the study was to compare efficacy of cutaneous cuts of various length in placement of a receiver-stimulator behind the ear. Conditions for ligature fixation of the cochlear implant receiver-stimulator as well as the state of soft tissues at the site of the intervention in the postoperative period are analysed. Cochlear implantation was made in 55 patients using implants CI 22M, 24M, Combi 40+. Group 1 included 38 patients (21 children aged 1 year 9 months to 14 years, mean age 7.07 +/- 0.9 years, and 17 adults) operated with an U-cut in the endaural variant, 17 patients (age 1 year 8 months to 15 years, mean age 7.06 +/- 1.2 years) operated with a vertical cut in addition of original subcutaneous flaps entered group 2. The number of complications related to soft tissues and postoperative suture in children of group 1 was significantly higher than in group 2 (p<0.05, t=2.0).

摘要

该研究的目的是比较在耳后植入接收器-刺激器时不同长度皮肤切口的效果。分析了人工耳蜗接收器-刺激器的结扎固定条件以及术后干预部位软组织的状况。对55例患者使用CI 22M、24M、Combi 40+型植入物进行了人工耳蜗植入。第一组包括38例患者(21名年龄在1岁9个月至14岁之间的儿童,平均年龄7.07±0.9岁,以及17名成人),采用耳内变体的U形切口进行手术,第二组包括17例患者(年龄在1岁8个月至15岁之间,平均年龄7.06±1.2岁),采用垂直切口并附加原始皮下皮瓣进行手术。第一组儿童中与软组织和术后缝线相关的并发症数量明显高于第二组(p<0.05,t=2.0)。

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