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目的:探讨镫骨手术治疗耳硬化症的最佳术式,提高治疗效果。方法:总结了耳硬化症的镫骨手术71例(耳)体会。其中镫骨提高术31例,镫骨部分切除术34例,镫骨全切除术6例。结果:术后随访,镫骨提高术和镫骨部分切除术具有同样稳定的近、远期听力效果。结论:认为镫骨提高术操作简便易行,前庭反应轻,应作为镫骨手术首先考虑的术式,即使镫骨撼动时足弓折断,也不影响后续手术的进行
Objective: To discuss the best surgical procedure of otoscleral surgery for otosclerosis and improve the therapeutic effect. Methods: A total of 71 cases of otorrhachitis (ear) experience were summarized. There were 31 cases of stapes improvement, 34 cases of tarsal partial resection and 6 cases of total tarsal massectomy. Results: Postoperative follow-up, tarsus augmentation and tarsal partial resection had the same stable short-term and long-term hearing effects. Conclusion: It is concluded that the operation of tarsus augmentation is simple and easy to operate and the vestibular reaction is light. It should be considered as the first operation in tarsal surgery. Even if the arch of the tarsal bone fractures when the tarsal beak is shaken, it will not affect the follow-up operation