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All were determined by the acoustic immitance audiometer and pure tone audiometry. Results (1)A type was determined in 33 patients (62.26%), As type in 4 patients (7.55%), B type in 2 patients (3.77%), and C type in 14 patients (26.42%). 35 patients (66.04%) had normal air hearing threshold, 16(30.19%) had a little deafness and 2 (3.77%) had middle deafness.

结果 (1)53例患者中,声阻抗鼓室导抗图A型33例(62.26%),As型4例(7.55%),B型2例(3.77%),C型14例(26.42%);正常听阈35例(66.04%),轻度聋16例(30.19%),中度聋2例(3.77%);(2)As、B、C型异常导抗图、峰压值、同侧对侧镫骨肌反射、坡度在鼻窦炎各分型与对照组、各分型之间比较,30组比较中9组有统计学差异。

Such as serous otitis media, tympanic water, catarrhal otitis media, otitis media with effusion, glue ear, blue tympanic membrane and so on, in fact is based on non-suppurative otitis media, a feature of the pathologic process of naming.

如浆液性中耳炎、鼓室积水、卡他性中耳炎、渗出性中耳炎、胶耳、蓝鼓膜等,其实都是依据非化脓性中耳炎病理过程中某一特点命名。

The former is characterized by middle ear effusion, because fluid is a non-bacterial, it can also called acute catarrhal otitis media; The latter can be changed from the former come Recently known as the pulp - mucous otitis media.

前者特点为鼓室积水,因积液属非细菌性,故又可称急性卡他性中耳炎;后者可从前者转变而来,近来称为浆—粘液性中耳炎。

Conclusion]In order to make an accurate diagnosis, protect infants from dysphasia, it is necessary for infants failing in the hearing screening to have tests of click-ABR, ASSR, tympanometry and be followed up until 1~2 years old.

结论]对未通过听力筛查新生儿需进行click-ABR和ASSR及鼓室声导抗检测及动态随诊观察,从而给出准确的诊断。

Thirty two cases of middle ear cholesteatoma limited in epitympanum were treated.

目的 :探讨提高局限于上鼓室的胆脂瘤型中耳炎疗效的手术方法。

The glomus tympanicum is a small discrete mass arising from the cochlear promontory in the middle ear.

鼓室脉络球瘤是一种小的分散性的肿块,位于中耳腔耳蜗岬

Results: The satisfactory MPR images of cochlea, bony semicircular canals, internal auditory meatus and other intratemporal structures can be obtained. The SSD images could show some important bony marks of temporal bone and spatial relationships between them clearly. On coronal plane, SSD images can vividly demonstrate the shape and spatial relationships of malleus and incus. A series images were obtained as the virtual endoscope moved from the external auditory canal to the middle ear cavity.

结果:MPR能在不同切面显示耳蜗、半规管、内耳道及面神经管垂直段等结构,显示率为100%;SSD能清晰显示颞骨重要的骨性结构,如内耳门、颈静脉孔等,冠状位切割后的SSD图像能生动地显示锤骨、砧骨的立体形态及空间关系;CTVE可模仿内窥镜从外耳向中耳移动,清晰显示骨性外耳道、鼓室内侧壁及听骨链等结构。

Abstract] Objective To evaluate the effect of salpingocatheterism through pharyngeal opening of auditory tube under nasal endoscope and Ⅱ tympanoplasty.

摘要] 目的探讨鼻内镜在视频系统下行咽鼓管咽口置管及鼓室成形Ⅱ型手术的效果。

Salpingocatheterism under nasal endoscope provides enlarged operation field and operation angle,flexible operation,accurate location.

鼻内镜在视频系统下咽鼓管置管具有独特的优势,视野阔、视角大、操作灵活、部位准确,扩大了鼓室成形术的适应证。

Salpingocatheterism under nasal endoscope provides enlarged operation field and operation angle,flexible operation,accurate location.It enlarges the indication of tympanoplasty.

鼻内镜在视频系统下咽鼓管置管具有独特的优势,视野阔、视角大、操作灵活、部位准确,扩大了鼓室成形术的适应证。

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