回流优势侧乙状窦相关性血管搏动性耳鸣的外科技术与疗效
Surgical technique and effect of the pulsatile tinnitus associated with sigmoid sinus on the dominant side of reflux
闫艳 1韩嘉为 1张淼 1刘日渊 1李晓雨 1刘阳1
作者信息
- 1. 中国人民解放军总医院第六医学中心耳鼻咽喉头颈外科医学部(北京,100048)
- 折叠
摘要
目的:探讨回流优势侧乙状窦相关性搏动性耳鸣的临床外科技术及疗效.方法:回顾性研究2017年1月-2023年11月由同一位医生收治的43例回流优势侧搏动性耳鸣患者的临床资料,观察手术治疗的疗效.术式:应用"盖帽法"乙状窦骨壁缺损修复技术建立隔声屏障,不改变乙状窦血管壁和血流流变状态.结果:所有患者均未出现手术并发症.随访3个月～6.9年,43例患者痊愈14例(32.6％),显效18例(41.9％),有效4例(9.3％),无效7例(16.3％),手术前后耳鸣分级的差异有统计学意义(P＜0.05).结论:应用"盖帽法"乙状窦骨壁缺损修复技术建立隔声屏障,有效地规避了对血液流变学状态及血管壁的干扰,从而避免了优势回流侧静脉管壁狭窄及血栓形成的风险,手术方法容易掌握,疗效显著,值得临床推广.
Abstract
Objective:To explore the effect of surgical treatment of the pulsatile tinnitus associated with sig-moid sinus on the dominant side of reflux.Methods:The clinical data of 43 patients with reflux dominant side pul-sating tinnitus admitted by the same doctor from 2017 to 2023 were retrospectively studied to observe the curative effect of surgical treatment.Operation method:The sound insulation barrier was established by repair technique of bone wall defect of sigmoid sinus with"capping method",without changing the blood flow and blood vessel wall of sigmoid sinus.Results:No surgical complications occurred in all patients.During the follow-up period of 3 months to 6.9 years,14 patients(32.6％)were cured,18 patients(41.9％)were significantly effective,4 patients(9.3％)were effective,and 7 patients(16.3％)were ineffective.The difference of tinnitus grade before and after surgery was statistically significant.Conclusion:In this group of cases,the sound insulation barrier was estab-lished by"capping method"technique of repairing bone wall defect of sigmoid sinus,which effectively avoided the disturbance of hemorheology status and vascular wall,thus avoiding the risk of venous wall stenosis and thrombo-sis on the dominant reflux side.The surgical method was easy to master,and the curative effect was significant,which was worthy of clinical promotion.
关键词
回流优势/乙状窦/搏动性耳鸣Key words
dominant side of reflux/sigmoid sinus/pulsatile tinnitus引用本文复制引用
基金项目
解放军总医院青年自主创新科学基金项目(22QNFC133)
出版年
2024
NETL
NSTL
万方数据