传导性耳聋的CT病因医分析.ppt

传导性耳聋的CT病因分析;鱼类无外耳和中耳，为什么？;鱼类无外耳和中耳，但人类为什么有？;圆锥形鼓膜的弧形杠杆作用 (声压提高1倍) 水力学机制作用（鼓膜：镫骨面积=17：1） 听骨链的杠杆作用（1.3:1）;以听骨链的运动轴心为支点，可将锤骨柄与砧骨长脚视为杠杆的两臂，其长度之比为1:3:1，在轴心的两侧，听小骨质量大致相等。按照杠杆作用原理，在支点两侧力量相等连接。 ;中耳增压效率=30dB ;集音（耳廓） 传音 空气中传播（外耳道） 气－液转换（杠杆系统） 感音（蜗神经）;气－液转换：鼓膜、杠杆系统、两窗。;一、外耳道病变 二、鼓膜病变 三、听骨链异常 四、卵圆窗病变 五、圆窗病变;一、外耳道异常;外耳道炎;外耳道闭锁;鼓膜穿孔、 炎性增厚、 粘连 ;鼓膜炎性增厚;鼓膜粘连;三、听骨链异常;锤骨：头、颈、柄、前突 砧骨：体、长脚、短脚、豆状突 镫骨：小头、前弓、后弓、底板 锤砧关节：锤骨头与枕骨体 砧镫关节：砧骨豆状突与镫骨小头;听骨链;冠状位;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;锤砧骨同层显示层面;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;砧骨发育不良的CT检查 巩若箴, 柳澄，晁宝婷，陈青华，刘凯，武乐斌 山东省医学影像学研究所;镫骨病变程度与听骨链重组方式;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;术中应尽量避免触动镫骨;CT多平面重组对镫骨病变的术前评价 巩若箴1, 晁宝婷2，刘凯1， 樊兆民3，王海波3，陈青华2，武乐斌1 ;镫骨斜位MPR; 听骨链支架中断;砧骨长脚破坏;锤骨破坏;镫骨破坏;砧骨大部分缺如;右侧锤砧关节脱位;锤骨柄下移与砧骨长脚明显成角;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;砧骨豆状突与镫骨头分离，向后、外侧移位。;右侧砧骨旋转、向上移位 砧镫关节脱位;冠状位：砧骨体部及长脚呈横位。;3、听骨链畸形;砧骨长脚发育不良;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;镫骨缺如;镫骨发育不良;砧蹬关节分离;镫骨异常？;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. C