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| 題 名 | 住院醫師執行的第一型鼓室成形術=Type-I Tympanoplasty Performed by Resident Doctors |
|---|---|
| 作 者 | 吳哲民; 蘇志英; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
| 卷 期 | 32:1 1997.02[民86.02] |
| 頁 次 | 頁28-31 |
| 分類號 | 416.81 |
| 關鍵詞 | 鼓室成形術; 住院醫師; Tympanoplasty; Resident doctor; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 自1992年7月至1995年6月在著者負責的病人中,由住院醫師獨力完成的第一型鼓 室成形術共 90 例。經 3 個月以上的追蹤,83 例耳膜修補成功,成功率為 92%。耳膜修補 成功者當中聽力改善大於 10 dB 者佔 74%。 術後病例並無嚴重的併發症,如全聾、感覺神 經性聽力喪失、耳鳴等。術前如能慎選合適的手術病人,第三年住院醫師開始即可循序漸進 的實際進行第一型鼓室成形術,而主治醫師則從旁監督和指導,如此在完成總住院醫師訓練 之前都可獨當一面執行第一型鼓室成形術或更複雜的中耳手術,並有不錯的成功率。(中耳 醫誌 1997;32:28-31。) |
| 英文摘要 | Form July 1992 to June 1995, 90 type-I tympanoplasties were performed independently by several senior resident doctors on selective patients for whom the first author is responsible. After a 3-month follow-up, we found that 83 ears had fascia taken. The graft take rate was 92%, and 67 ears (74%) had hearing improvement more than 10 dB. Major complications such as total deafness, sensori-neural hearing loss and tinnitus did not occur. The third year resident can begin performing type-I tympanoplasty step by step under the surveillance and instruction of visiting staff members. We believed that before the time the chief resident trainings are accomplished, senior residents can head type-I tympanoplasty and even more difficult middle ear surgery on well-selected cases, and have satisfactory results. |
本系統中英文摘要資訊取自各篇刊載內容。