耳硬化症手術結果分析

Analysis of the Surgical Result of Otosclerosis

黃峰鋼(Feng-Gang Huang) ； 黃俊生(Tsun-Sheng Huang)

《中華民國耳鼻喉科醫學會雜誌》 31卷1期 (1996/02) Pp. 24-31

https://doi.org/10.6286/1996.31.1.24

摘要

本文收集長庚紀念醫院由民國75年12月到83年6月共174次耳硬化症手術病例，其臨床診斷標準為：1）正常耳膜；2）單側或雙側傳導性或混合性聽力喪失，並存有著氣骨導聽力差值；3）正常氣化的乳突部。手術採用由耳後進入中耳腔，實行鐙骨小窗手術，部份或全部切除術，併植入人工替代品；術後追蹤則由4個月到4年不等，平均約為2年。術前病患資料分析顯示其性別比例、年齡分佈、單雙側耳比例、聽阻測驗及純音聽力圖型，皆與西方人種相似。術後聽力改善評估標準是依Chandler及Rodriguze-Torro於1983年所提出之標準，則其superior，good和fair三者和在標準1為80.5%，在標準2為90.8%，在標準3為94.8%，其中並有6例接受再次鐙骨切除術患者其依標準1亦有總共67%的superior，good和fair的病患比例。

關鍵字

耳硬化症 ； 足板 ； 鐙骨切除術

並列摘要

A total of 171 ears and 174 stapedectomies for clinical otosclerosis among the Chinese from December 1986 to June 1994 in Chang Gung Memorial Hospital were analysed. The surgical methods were postauricular approach and sealed with fascia for all patients. In terms of family history, sex, and age distributions, as well as bilaterality were similar to that we reported previously. According the criteria of Chandler and Rodriguze-Torro, the surgical results of otosclerosis showed superior, good and fair were 80.5% for criteria 1. 90.8% for criteria 2, and 94.8% for criteria 3. We have revised stapedectomy for six patients, and the results of revised stapedectomy was poorer than than of fresh cases.

並列關鍵字

otosclerosis ； footplate ； stapedectomy