中耳炎鼓室窦CT分型与手术方式初探

doi:10.6040/j.issn.1673-3770.0.2017.538

山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (4): 14-16.doi: 10.6040/j.issn.1673-3770.0.2017.538

中耳炎鼓室窦CT分型与手术方式初探

陈涛¹,刘善平²,卢永田¹

1.深圳市第二人民医院/深圳大学第一附属医院耳鼻咽喉科, 广东深圳 518000;
2.泰山医学院附属新泰医院影像科, 山东新泰 271200

收稿日期:2017-12-22 出版日期:2018-07-20 发布日期:2018-07-20
通讯作者: 卢永田. E-mail:luyongtian@263.com

Analysis of tympanic sinus CT classification and surgical procedure in management of otitis media

CHEN Tao¹, LIU Shanping², LU Yongtian¹

Department of Medical Imaging, Affiliated Xintai Hospital of Taishan Medical University, Xintai 271200, Shandong, China

Received:2017-12-22 Online:2018-07-20 Published:2018-07-20

摘要/Abstract

摘要： 目的回顾性分析90例中耳炎患耳鼓室窦CT分型,旨在探讨耳内镜与显微镜手术处理后鼓室病变的适应证。方法所有患者术前行颞骨高分辨CT检查,记录鼓室窦CT分型(鼓室窦与面神经的关系),统计各型的例数和比例。结果 90例患耳的鼓室窦CT分型:A型43耳(47.78%),B型45耳(50%),C型2耳(2.22%)。结论鼓室窦CT分型以A型和B型居多, 内镜中耳手术适合在中耳炎手术中推广,但C型鼓室窦的最佳手术方式仍是显微镜中耳手术。

关键词: 面神经, 鼓室窦, X线计算机

Abstract: Objective Retrospective analysis of tympanic sinus computed tomography(CT)classification(the relationship between the tympanic sinus and the facial nerve)in 90 ears with otitis media to explore the indications of endoscopic and microscopic surgery for the treatment of posterior tympanic disease. Methods Preoperative CT examinations of 90 ears with otitis media were retrospectively reviewed and classified. CT classifications were summarized, and the numbers and proportions of each type were analyzed. Results CT examinations of 90 ears with otitis media were classified as follows: type A, 43 ears(47.78%); type B, 45 ears(50%); and type C, two ears(2.22%). Conclusion Tympanic sinuses of types A and B are predominant; thus, endoscopic middle ear surgery is suitable for most cases of otitis media. However, microscopic surgery remains the best approach for tympanic sinuses of type C.

Key words: Facial nerve, X-ray computed tomography, Sinus tympani

中图分类号:

R764

陈涛,刘善平,卢永田. 中耳炎鼓室窦CT分型与手术方式初探[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 14-16.

CHEN Tao, LIU Shanping, LU Yongtian. Analysis of tympanic sinus CT classification and surgical procedure in management of otitis media[J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 14-16.

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中耳炎鼓室窦CT分型与手术方式初探

Analysis of tympanic sinus CT classification and surgical procedure in management of otitis media

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