耳硬化症的治疗进展
Current Management of Otosclerosis
葛欣婷 1唐旭霞2
作者信息
- 1. 浙江中医药大学附属第一医院(杭州 310006)
- 2. 浙江中医药大学附属第一医院(浙江省中医院)
- 折叠
摘要
耳硬化症是一种原发于骨迷路的骨质重建障碍,可导致各种类型的听力下降.目前的治疗方案包括药物治疗、常规助听器、镫骨成形术、植入式电子听觉系统及人工耳蜗等.对于听力无明显下降的早期耳硬化症或拒绝手术治疗的患者,可以考虑药物治疗或助听器;对于传导性听力下降为主的前庭窗型耳硬化症,镫骨手术常作为一线治疗方案;对于感音神经性或混合型听力下降的耳蜗型及混合型耳硬化症,可以根据听力损失的程度选择植入式电子听觉系统或人工耳蜗.在决定治疗方案时,要根据患者的病变部位、听力损失类型、程度、自身诉求、费用等方面综合考虑,做到个体化分型治疗.
Abstract
Otosclerosis is a bone reconstruction disorder that originates in the bone labyrinth and can lead to vari-ous types of hearing loss.Current treatment options include medication,conventional hearing aids,stapes surgery,im-plantable electronic hearing systems and cochlear implants.For patients with early otosclerosis without significant hear-ing loss or those who refuse surgical treatment,medication or hearing aids may be considered.For vestibular window otosclerosis with predominantly conductive hearing loss,stapes surgery is often the first-line treatment option.For pa-tients with sensorineural or mixed hearing loss in cochlear and mixed otosclerosis,implantable electronic hearing sys-tems or cochlear implants may be considered depending on the degree of hearing loss.The best treatment option should be based on a combination of factors including lesion site,degree and type of hearing loss,personal wishes and cost.
关键词
耳硬化症/治疗/镫骨手术/助听器/人工耳蜗Key words
otosclerosis/therapy/stapes surgery/hearing aids/cochlear implant引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据