血管纹性聋的.pptVIP

血管纹性聋 Stria Vascularis Hearing Loss 五官科 周勇森 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Schuknecht(1955)根据不同部位之病理改变，将感音神经性聋分为四种 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Four basic types of SNHL 感音性（毛细胞性）sensory(hair cell) 神经元性 neural 血管纹性 strial (stria vascularis) 耳蜗传导性 cochlear conductive Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 解剖 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 骨性耳蜗 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 膜性耳蜗（为何称阶，鼓及前庭阶） Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 耳蜗管横断面 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 耳蜗管横断面 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. stria vascularis 蜗螺旋管的管腔可以分为三个部分：近蜗顶侧的管腔起自前庭称为前庭阶；中间是膜性的蜗管；近蜗底侧者为鼓阶。鼓阶在蜗螺旋管起始处的外侧壁上有蜗窗。 膜蜗管的外侧壁为复层柱状上皮，含有丰富的毛细血管，故称血管纹 。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. stria vascularis 三层细胞组成 (1)边缘细胞(marginal cell) (2)中间细胞(intermediate cell) (3)基底细胞 (basal cell) Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. stria vascularis 是耳蜗代谢最旺盛之处。 最重要的是边缘细胞，呈六角形，表面也有许多微绒毛，直接与内淋巴液接触，具有活跃的代谢功能。现已查明，与水盐离子转运关系最为密切的是边缘细胞。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. stria vascularis Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose