仿真内窥镜法听骨链重建在中耳炎患者手术中的应用.doc

仿真内窥镜法听骨链重建在中耳炎患者的应用 韩正理 刘云 李郧 叶发贵 深圳市宝安区福永医院 广东省深圳市 518103 【摘要】目的 探讨仿真内窥镜法听骨链重建对判断听骨链病变的价值。方法 应用仿真内窥镜法听骨链重建成像与术中所见进行回顾性分析,分析比较仿真内窥镜法听骨链重建与术中病变所见的符合情况。结果 仿真内窥镜法听骨链重建对病变听骨链的诊断准确率与术中对照符合率较高，显示高分辨率CT对砧骨病变的显示与术中所见一致性非常好。结论 应用仿真内窥镜法听骨链重建能对听骨链病变程度做出准确判断。 【关键词】仿真内窥镜法；中耳炎；听骨链；中耳乳突手术 Virtual endoscopy method ossicular reconstruction in patients with otitis media applications HAN Zheng-li * LIU Yun Li-Yun YE Fa-gui *Department of Otarhinolaryngology , Fuyong Hospital , Shenzhen 518103,China [Abstract] Objective Through the application of otitis media in patients with preoperative virtual endoscopy ossicular reconstruction images with the intraoperative comparative analysis to explore the virtual endoscopy method of ossicular reconstruction to determine the value of ossicular lesions. Methods 48 cases of complete information on chronic suppurative otitis media hospitalized patients into the study, its method of preoperative virtual endoscopy ossicular reconstruction imaging and intraoperative findings were analyzed retrospectively, Analysis and Comparison of virtual endoscopy method ossicular chain reconstruction and intraoperative pathological changes seen in line with the situation, explore the virtual endoscopy method ossicular reconstruction for middle ear ossicular chain lesions in patients with diagnostic accuracy. Results Virtual endoscopy method ossicular ossicular reconstruction for lesions of the diagnostic accuracy rate of intraoperative control in line with the higher rate of incus the kappa value of 0.8286, more than 0.75, indicating HRCT lesions of the incus display with intraoperative see a very good consistency. Malleus, the stapes superstructure, hammer anvil stirrup anvil articular joints and the kappa value of more than 0.40, indicating virtual endoscopy method ossicular ossicular reconstruction in the diagnosis of lesions better consistency. Conclusions data applications using high-resolution CT virtual endoscopy method ossicular ossicular reconstr