Coker N J, Duncan N O, Wright G L, Jenkins H A, Alford B R
Dept of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, TX 77030.
Ann Otol Rhinol Laryngol. 1988 Mar-Apr;97(2 Pt 1):109-13. doi: 10.1177/000348948809700202.
The diminishing number of cases of otosclerosis limits the training experience in stapes surgery during residency. Results are suboptimal. Closure of the preoperative air conduction to within 10 dB of bone conduction was obtained in only 64% of resident cases. Efforts to maximize experience and improve results include closer faculty supervision, use of one stapedectomy technique, and a prospective study of individual residents' performance.
耳硬化症病例数量的减少限制了住院医师培训期间在镫骨手术方面的经验积累。结果并不理想。在住院医师所做的病例中,仅有64%的病例能将术前气导与骨导差距缩小至10分贝以内。为了最大限度地积累经验并改善结果,采取了一些措施,包括教师更密切的监督、采用单一的镫骨切除术技术以及对每位住院医师的表现进行前瞻性研究。