住院醫師執行的第一型鼓室成形術

Type-I Tympanoplasty Performed by Resident Doctors

吳哲民(Che-Ming Wu) ； 蘇志英(Chih-Ying Su)

《中華民國耳鼻喉科醫學會雜誌》 32卷1期 (1997/02) Pp. 28-31

https://doi.org/10.6286/1997.32.1.28

摘要

自1992年7月至1995年6月在等者負責的病人中，由住院醫師獨力完成的第一型鼓室成形術共90例。經3個月以上的追蹤，83例耳膜修補成功，成功率為92%。耳膜修補成功者當中聽力改善大於10 dB者佔74%。術後病例並無嚴重的併發症，如全聾、感覺神經性聽力喪失、耳鳴等。術前如能慎選合適的手術病人，第三年住院醫師開始即可循序漸進的實際進行第一型鼓室成形術，而主治醫師則從旁監督和指導，如此在完成總住院醫師訓練之前都可獨當一面執行第一型鼓室成形術或更複雜的中耳手術，並有不錯的成功率。

關鍵字

鼓室成形術 ； 住院醫師

並列摘要

Form July 1992 to June 1995, 90 type – I tympanoplasties were performed indepen-dently by several senior resident doctors on selective patients for whom the first author is responsible. After a 3-month follow-up, we found that 83 ears had fascia taken. The graft take rate was 92%, and 67 ears (74%) had hearing improve-ment more than 10 dB. Major complica-tions such as total deafness, sensori-neural hearing loss and tinnitus did not occur. The third year resident can begin perform-ing type – I tympanoplasty step by stepunder the surveillance and instruction of visiting staff members. We believed that before the time the chief resident train-ings are accomplished, senior residents can head type – I tympanoplasty and even more difficult middle ear surgery on well-selected cases, and have satisfactory results.

並列關鍵字

tympanoplasty ； resident doctor