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1980年 Causse JR 及作者曾报告21655例耳硬化症镫骨切除术患者。由于手术方法及术后处理欠妥,术后眩晕者较常见。后经长期严密随访观察,认为耳硬化症镫骨术后眩晕主要有以下几种情况:(1)血液流进前庭:如果血液较多,则刺激迷路引起眩晕,症状出现约在术后第四天,数日后可自行消失。(2)异物落入前庭:①镫骨底板落入前庭则头部活动时出现眩晕和眼震,解决办法是将大块静脉片植入前庭窗以固定悬浮的底板。②异物如滑石粉可引起眩晕和不稳感,所以术前应洗净手套。(3)
Causse JR and the authors in 1980 reported 21,655 patients with otosclerosis of the ear. Due to surgical methods and postoperative management, postoperative patients with vertigo are more common. After long-term close follow-up observation, that otolaryngology stapes postoperative vertigo mainly in the following situations: (1) the blood flow into the vestibule: If the blood more, the stimulation of stupor caused dizziness, the symptoms appear about after the fourth Days, a few days later disappear on their own. (2) foreign body into the vestibule: ① stapes floor into the vestibule of the head activity when vertigo and nystagmus, the solution is to implant large veins of the vestibule of the vestibule to fix the suspended floor. ② foreign body such as talcum powder can cause dizziness and instability, so preoperative gloves should be washed. (3)