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Tympanum of acoustical immittance examination presses tympanic plan: 5Ear is " B " model graph, 1 ear is " C " model tympanic graph. 1 · entire case all is in 2 treatment method the lens inside bazoo of road of caliber of the classics below spile of canal of tone of general anesthesia classics uses electric planing machine to cut below monitoring system implement resection of form of travel gland shape.

声导抗检查鼓室鼓室图:5耳为"B"型图,1耳为"C"型鼓室图。1·2治疗方法全部病例均在全身麻醉经口气管插管下经口径路鼻内镜监视系统下使用电动刨削器行腺样体切除术。

There were no bone erosion in the 3 ears with simple type otitis media, and the 19 ears with cholesteatoma showed: abnormal soft-tissue and bony erosion in the tympanic cavity and antrum; dislocation and disruption of the ossicular chain; and showed disruption of sigmoid sinus plate, tegmen tympani, semicircular canal and facial nerve canal in severe cases.

胆脂瘤型中耳炎SCT-3DI示:鼓室、鼓窦内软组织影和骨质破坏,听骨链移位和破坏,严重者破坏鼓室盖、面神经管、外半规管和乙状窦板等,与手术中所见基本相符。

The positive pressure of 6kPa was given via mask to the nasopharynx of the testee, while the control took normal breath.

被试者经面罩给予6kPa的鼻咽部正压,对照者正常呼吸,高压舱以0.5kPa/s的速率增压至5kPa,被试者和对照者均不采用其他任何主动或被动开放咽鼓管的措施,测鼓室腔压力;高压舱以同样速率增压至20kPa,被试者条件不变,对照者可进行主动或被动开放咽鼓管的措施,测鼓室压。

Methods: 8 patient of cholesteatoma tympani with 10 ears were irrigated with 3% Purslane after oto-endoscopic.

对8例10耳单纯上鼓室胆脂瘤或伴外耳道后上壁部分缺损、CT示鼓窦、鼓室及乳突有软组织影的胆脂瘤型中耳炎采用耳内镜手术配合3%马齿笕溶液冲治疗。

Results Spiral CT findings of cholesteatomtous tympanitis included: soft tissue mass in the tympanium, tympanal sinus and mastoid,destruction of the bone including ossicles chain,secutum,facial nerve canal,semricirular canal,sigmoid sinus plate, tegmenttympanic.

结果:胆脂瘤型中耳炎的螺旋CT表现为鼓室、鼓窦及乳突区软组织肿块,常伴有骨质破坏,其中包括听小骨、盾板、面神经管、半规管、乙状窦及鼓室盖骨质破坏。

Ten patients with temporal bone fracture and trauma of ear,whose CT scan of temporal bone showed that Malleoincudal joint irregular shape in the axial view and incudostapedial joint dislocation in the coronal view,were included in this study,Virtual endoscopy showed Malleoincudal joint separation,incudostapedial joint dislocation and interruption,ossicular chain disruptio...

虚拟耳镜示锤砧关节分离,砧镫关节脱位,听骨链中断。手术经颞线下开放上鼓室,保留完整的外耳道后上壁,充分暴露上、后鼓室和听骨链,检查并行听骨链成形术。结果:砧骨长脚骨折1耳,将砧骨改型后行锤-镫连接术;锤砧和砧镫关节脱位6耳,砧骨完全脱落3耳,行砧骨复位双关节固定术。10耳均行上鼓室进路鼓室探查术,术后语频听力平均提高25~50dB。结论:完壁式上鼓室进路鼓室探查术治疗外伤性听骨链中断疗效满意。

Results Of 355 ears in 200 children with secretory otitis media, 240 ears exhibited type B tympanogram and 115 ears type C. Removal of hydrotympanum was performed in 355 ears. There was no significant difference in total obtaining liquid rate (P>0.05). However, there was very significant differences in obtaining mucus rate, stapedius muscle reflex and recurrence rate (P<0.01), and a significant difference in obtaining serous rate (P<0.05). There was no misdiagnosis and missed diagnosis in 200 sick children undergoing acoustic immitance determination.

结果 200例(355耳)分泌性中耳炎患儿呈B型鼓室导抗图240耳,C型鼓室导抗图115耳,分别对其抽出鼓室积液,它们的总得液率无显著性差异(P>0.05),但其得粘液率、镫骨肌反射、复发率有极显著性意义(P<0.01),得浆液率有显著性意义(P<0.05);在接受200例声导抗检查的患儿中,无1例发生误诊及漏诊。

A single peaked tympanogram was typical in normal infants for 1000 Hz admittance,susceptance and conductance tympanograms and there were 28 ears (93.3%), 25 ears (83.3%) and 26 (86.7%) respectively.

在成年人和儿童中,以低频纯音(220Hz或226Hz)为探测音的鼓室声导抗测试被证明对于诊断多种中耳疾病、鼓膜异常以及咽鼓管功能障碍有很好的作用[1,2],但是目前已经有一些研究表明,它图1高频探测音鼓室导抗图的不同类型。a,b:单峰型;c:无峰型;d:三峰型并不适用于诊断婴儿的中耳病变,特别是年龄小于6个月的婴儿[3-5]。

Results One case of 226 Hz tympanograms was type "As" while others were all type "A", of which single-peaked tympanograms was 43.2%(108/250), W-shaped tympanograms was 56.8%(142/250). The abnormal pattern of 678 Hz tympanograms were 74 ears, and the abnormal pattern of 1000 Hz tympanograms were 35 ears. 43 newborns (86 ears) have accepted temporale CT and results showed 30 middle ears with effusion.

结果 226 Hz探测音鼓室导抗图有1耳为As型,其余耳均为A型,其中单峰型占43.2%(108/250),双峰型占56.8%(142/250);678Hz探测音鼓室导抗图异常者有74耳,其中65耳为B型,4耳为As型,5耳为C型。1000Hz探测音鼓室导抗图异常者有35耳,其中26耳为B型,5耳为As型,4耳为C型,声导抗测试异常或可疑者43例(86耳)颞骨薄层CT检查显示30耳存在中耳腔积液。

Ordinary no destruction , the ossicular chain can be erosions and destruction , but more slight and no transitional .the major CT findings in simple chronic middle ear on 2 patients were soft tissue in middle ear cavity ,and 1 patient findings hydropneumo, the bone of tympanic cavity cirrhosis ,no destruction .

其它征象包括乙状窦、鼓室盖、水平半规管、面神经管水平段骨质破坏。29例肉芽肿型中耳炎CT表现为中耳腔内的软组织密度影,部分有液平,鼓室壁增生、硬化,骨质破坏少见,听小骨可出现吸收破坏,但程度较轻,一般无移位。2例单纯型中耳炎表现为中耳腔内的软组织密度影,1例有液平,鼓室壁骨质硬化,无骨质破坏。

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