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半导体二极管激光微小开窗镫骨切除术的治疗效果:与微型钻头的比较

[Therapeutic effects of small fenestra stapedotomy with semiconductor diode laser: a comparison with microdrill].

作者信息

Feng Xiao-Hua, Xie Nan-Ping, Lin Feng, Wan Liang-Cai, Yan Xing, Guo Meng-He, Wang Yue-Jian

机构信息

Department of Clinical Laboratory, Guangdong Provincial People's Hospital, Guangzhou, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2008 Aug;28(8):1391-3.

Abstract

OBJECTIVE

To compare the effects of small fenestra stapedotomy with semiconductor diode laser and microdrill in patients with otosclerosis.

METHODS

Twenty-six patients (29 ears) undergoing stapedotomy with semiconductor diode laser and 19 patients (21 ears) with microdrill were compared for the hearing results and complication rates.

RESULTS

No statistically significant differences were found in postoperative speech frequency and high frequency pure tone average in closing the air-bone gap between the two groups. The ears treated by stapedotomy with semiconductor diode laser showed significantly better preoperative minus the postoperative air-bone gap and milder dizziness.

CONCLUSION

In spite of the good hearing outcomes in both groups, small fenestra stapedotomy with semiconductor diodelaser can achieve better results and reduce the incidence of complications.

摘要

目的

比较半导体二极管激光与微型钻头行小窗镫骨切除术治疗耳硬化症患者的效果。

方法

比较26例(29耳)接受半导体二极管激光镫骨切除术的患者与19例(21耳)接受微型钻头镫骨切除术的患者的听力结果及并发症发生率。

结果

两组术后言语频率和高频纯音平均听阈在缩小气骨导间距方面无统计学显著差异。半导体二极管激光镫骨切除术治疗的耳术前减去术后气骨导间距明显更好,且头晕症状较轻。

结论

尽管两组听力结果均良好,但半导体二极管激光行小窗镫骨切除术可取得更好效果并降低并发症发生率。

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