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目的观察耳蜗结构，实施蜗内手术干预。方法采用０．４５ｍｍ直径微窥镜，观察动物和耳蜗植入者的内耳结构，采用半导体微激光对内耳病变进行干预。结果实验结果表明耳蜗微窥镜插入后内耳无结构损伤，ＡＢＲ阈值短暂变化，２周后基本恢复。对耳蜗植入者临床应用微窥镜可诊断蜗内病变。微激光干预后可重建鼓阶，顺利植入人工耳蜗电极极阵。结论耳蜗微窥镜临床使用安全，结合微激光可对内耳疾病进行干预。
Objective To observe the cochlear structure and implement intracochlear surgical intervention. Methods 0.45mm diameter endoscope was used to observe the structure of the inner ear of animals and cochlear implants. Semiconducting laser was used to intervene in the lesion of the inner ear. Results The experimental results showed that there was no structural damage in the inner ear after insertion of the cochlear microroscope and the threshold of ABR changed briefly. After 2 weeks, the threshold of ABR was recovered. Clinical application of cochlear implants can be diagnosed with micro-endoscopic snail lesions. Micro-laser intervention can be reconstructed after the scala tympani, cochlear implant electrode array. Conclusion The clinical use of cochlear microscope is safe, and the combination of micro-laser can interfere with the inner ear disease.