仿真内窥镜法听骨链重建在中耳炎患者手术中的应用

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1、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V

2、irtualendoscopymethodossicularreconstructioninpatientswithotitismediaapplicationsHANZheng-li*LIUYunLi-YunYEFa-gui*DepartmentofOtarhinolaryngology,FuyongHospital,Shenzhen518103,China[Abstract]ObjectiveThroughtheapplicationofotitismediainpatientswithpreoperativevir

3、tualendoscopyossicularreconstructionimageswiththeintraoperativecomparativeanalysistoexplorethevirtualendoscopymethodofossicularreconstructiontodeterminethevalueofossicularlesions.Methods48casesofcompleteinformationonchronicsuppurativeotitismediahospitalizedpatien

4、tsintothestudy,itsmethodofpreoperativevirtualendoscopyossicularreconstructionimagingandintraoperativefindingswereanalyzedretrospectively,AnalysisandComparisonofvirtualendoscopymethodossicularchainreconstructionandintraoperativepathologicalchangesseeninlinewiththe

5、situation,explorethevirtualendoscopymethodossicularreconstructionformiddleearossicularchainlesionsinpatientswithdiagnosticaccuracy.ResultsVirtualendoscopymethodossicularossicularreconstructionforlesionsofthediagnosticaccuracyrateofintraoperativecontrolinlinewitht

6、hehigherrateofincusthekappavalueof0.8286,morethan0.75,indicatingHRCTlesionsoftheincusdisplaywithintraoperativeseeaverygoodconsistency.Malleus,thestapessuperstructure,hammeranvilstirrupanvilarticularjointsandthekappavalueofmorethan0.40,indicatingvirtualendoscopyme

7、thodossicularossicularreconstructioninthediagnosisoflesionsbetterconsistency.Conclusionsdataapplicationsusinghigh-resolutionCTvirtualendoscopymethodossicularossicularreconstructioncanaccuratelyjudgetheextentofdiseaseandhelppatientsinthepreoperativeapproachtothesu

8、rgeryandmethodsofselection,andisabletosurgeryandsurgicalprognosisofthesecurityassessmenttoprovideareference. 【KeyWords】virtualendoscopymethod;otitismedia;ossic