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于此短文中提出讨论四个问题。第一,对患者固定的镫骨板手术选择问题。镫骨撼动术曾被某些耳科医师认为是安全的手术,因而为耳硬化症患者进行外科治疗时,常常提倡第一步先行镫骨撼动术,我意以为不然,其理由如下。 1、镫骨撼动术有严重损伤砧骨之危险,致使进行其他手术时更加困难,Brownlie Smith氏在其国内于近来的论文中曾强调此点。 2、镫骨撼动术可以损伤内耳。Ivstam氏曾指出70％患者于术后有位置性眼球震颤及骨
In this essay, four questions are discussed. First, the patient’s choice of stapes operation selection. Stapes surgery has been considered by some otologists as a safe procedure, and therefore for surgical treatment of otosclerosis patients, the first step is often advocated. First, the stapesis surgery, I mean otherwise, for the following reasons. 1, Osteoclampsia has the risk of severely injuring the incus, making it more difficult to perform other procedures, as Brownlie Smith emphasized in his recent papers. 2, tarsal bone surgery can damage the inner ear. Ivstam has pointed out that 70% of patients had positional nystagmus and bone after surgery