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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。

Results:① The distance between handle of malleus and stapes head was(2.38±0.19)cm(2.00~2.70cm), the point selecting for measuring was outer margin of handle of malleus and stpes head.②The cross section form of one_third of the handle of malleus at the end, was triangle, the anteroposterior diameter of handle of malleus was(0.79±0.12)mm, the exterior and interior diameter was(0.58±0.10)mm at the crook point,the angle of line of manubrium mallei laid(83.24±8.33)°(66~98°)posteroinferior to arch of zygoma.③The long axis of prosthesis formed(27.60±1.75)°(24.6~30.2°)angle with the perpendicular of stapes.④The dependablity between the malleus_stapes distance and transverse diameter of tympanum, the location of umbo in tympanic membrane, the diameter of manubrium mallei, angle of line of manubrium mallei and arch of zygoma were not statistically significant.

结果:①锤_镫距离最短为(2.38±0.19)cm(2.00~2.70cm),测量点为锤骨柄末端1/3处外缘和镫骨头;②锤骨柄末段1/3横断面形状接近三角形,弯曲处前、后方向直径为(0.79±0.12)mm,内、外方向直径为(0.58±0.10)mm;锤骨柄与颞线的成角为(83.24±8.33)°(66~98°);③赝复物长轴与镫骨垂直方向成角平均为(27.60±1.75)°(24.6~30.2°);④锤_镫距离与鼓室横径、鼓脐在鼓膜上的位置、锤骨柄直径、锤骨柄的方位的可能相关因素之间相关性检验无统计学意义。

Methods: Micranatomical study was carried out on 30 sides of human temporal bones to measure the location of umbo in tympanic membrane, the distance between handle of malleus and stapes head, the diameter of handle of malleus.

取成人完整鼓室标本15例(30侧)凿除乳突和外耳道前、后、下壁,保留上壁,在手术放大镜下测量鼓脐在鼓膜上的位置、锤骨柄至镫骨头距离、锤骨柄直径等。

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