微创入路人工耳蜗植入术-中华耳科学杂志.PDF

· 212 · ChineseJournalofOtologyVol.11,No.2,2013 ·听觉植入专辑· 微创入路人工耳蜗植入术＊ 宋跃帅1,2 戴朴1,2 1中国人民解放军总医院，耳鼻咽喉头颈外科（北京100853） 2 中国人民解放军总医院海南分院，耳鼻喉科（三亚572013） 【摘要】目的探讨微创入路人工耳蜗植入术的手术方式及其效果。方法 回顾分析197例植入MedElCombi40+©、 Pulsar©或Sonata©的病例，统计术后皮肤切口长度，手术历时及术后并发症的发生率。结果术后皮肤切口长度平均为 3.0±0.3cm，手术时长平均为103.4±22.4分钟，在平均26.5个月的随访期内，无手术相关并发症发生。结论微创入路 人工耳蜗植入术在不增加手术难度的同时有助于降低手术相关并发症的发生率，提高患者及家属的认同度。 【关键词】微创入路；人工耳蜗植入术；并发症 【中图分类号】R318.18 【文献标识码】A 【文章编号】1672-2922（2013）02-212-04 Cochlearimplantationwithminimalaccess 1,2 1,2 SONGYue-shuai DAIPu 1DepartmentofOtolaryngologyHead-NeckSurgery,ChinesePLAGeneralHospital,Beijing100853. 2DepartmentofOtorhinolaryngology,HainanbranchofPLAGeneralHospital,Sanya572013 【Abstract】Objective Todescribedanapproachofcochlearimplantationwithasmallerskinincisionof3-cm.Meth⁃ ods Atotalof197patientsreceivedCombi40+©,Pulsar©orSonata©implantswithanovelapproachofa3-cm-longskinin⁃ cision.Theskinincisionlengthwasmeasuredafterclosureoftheskin.Theoperativedurationandpostoperativecomplications wasalsorecorded.ResultsTheaverageskinincisionlengthsafterclosureoftheskinwere3.0±0.3cm.Theaverageoperative durationwas103.4±22.4min.Nocomplicationsofcochlearimplantationoccurredduringanaverageof26.5monthsofpost⁃ operativefollow-up.Conclusions Theminimalaccessforcochleaimplantationcanreducethesurgicalcomplicationratewith⁃ outincreasingoperativedifficulty,andcochlearimplantationwithaminimalaccessismoreacceptabletothepatientsand theirfa