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本文报导42例镫骨切除术后合并肉芽肿,作者对其原因进行了研究与分析。全部病例为耳硬化症患者,呈传导性或混合性聋。女31例、男11例。均做过镫骨切除术。术后40例呈感音性聋,同时伴有语言识别力显著减低及“不稳感”。医生为了重新估计手术情况而查阅原先手术记录,未发现术中有过多外伤或前庭窗的操作。镫骨切除术后肉芽肿发生时期如下:一周6例、二周21例、三周9例、四周1例、五周2例、六周七周八周各1例。全部病例再次手术均发现肉芽肿;37例人工听骨装置位于中鼓室后方被肉芽包围,肉芽位于增厚的鼓膜与闭塞的前庭窗之间;4例前庭窗处有肉芽并已长入前庭,1例在靠近鼓膜的砧骨上
This article reports 42 cases of combined granuloma after tarsal resection, the author of the reasons for the study and analysis. All cases were otosclerosis patients, conductive or mixed deafness. 31 females, 11 males. Have done a tarsal resection. 40 cases were sensory deafness, accompanied by a significant reduction in language recognition and “instability.” Doctors in order to re-estimate the operation and access to the original surgical records, found no intraoperative excessive trauma or vestibular window operation. Osteotomy postoperative period of granulomas are as follows: one week in 6 cases, two weeks in 21 cases, three weeks in 9 cases, four weeks in 1 case, five weeks in 2 cases, six weeks seven weeks and eight weeks in 1 case. Granulomas were found in all the cases underwent reoperation; 37 cases of artificial bone devices were located in the rear of the tympanic cavity surrounded by granulation, the granulation was located between the thickening of the tympanic membrane and the occluded vestibular window; 4 cases of granulation in the vestibular vestibule and into the vestibule, One case was on the incus near the tympanic membrane