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class="ny-right-tit">医院新闻</div> <div class="ny-right-location">当前位置åQ?a href="/index.html">首页</a> <span>></span> <a href='/news/11-1.html'>新闻中心</a> <span>></span> <a href='/news/12-1.html'>医院新闻</a></div> </div> <div class="about-content"> <div class="ny-news-tit"><!--<$[标题]>begin-->困扰10多年耳鸣被手术治æ„?| 瑞安市äh民医院耳科团队ä¸ø™¡€½Ž¡æåŠ¨æ€§è€³é¸£æ‚£è€…带来福éŸ?!--<$[标题]>end--></div> <div class="ny-news-tit_1"> </div> <div class="ny-author"> <div class="news-author"> 作者:<!--<$[作者]>begin-->林森<!--<$[作者]>end-->  æ¥æºåQ?!--<$[发布机构]>begin-->耳éËE咽喉¿U?!--<$[发布机构]>end-->  å‘布旉™—´åQ?!--<$[发布旉™—´]>begin-->2022/11/25 10:20:39<!--<$[发布机构]>end-->  å­—号åQ?span class="fontsize"><input type="button" value="+" title="攑֤§å­—体" onclick="changeSize('bigger');"><input type="button" value="-" title="¾~©å°å­—体" onclick="changeSize('smaller');"></span> </div> </div> <div id="newsnr"> <!--<$[正文]>begin--> <p style="text-indent: 2em;" data-track="1" data-pm-slice="1 1 []"><span style="letter-spacing: 1px;"><span style="color: #434343; --tt-darkmode-color: #A3A3A3;">被耳鸣困扰10多年的温州永嘉公务员季女士和温州鹿城张女士,在国内多家大医院æ²È–—无效åQŒå¥¹ä»¬è·¨­‘Šå¤§åŠä¸ªä¸­å›½æ…•åæ‰‘Öˆ°çŽ‹æ­¦åº†æ•™æŽˆã€‚日前,两位患者在王武庆教授和瑞安市äh民医院耳科团队安排下成功实施了侧颅底切开加乙状窦¾~©çª„术,ž®?/span><strong><span style="color: #434343; --tt-darkmode-color: #A3A3A3;">困扰10多年的血½Ž¡æåŠ¨æ€§è€³é¸£¾lˆäºŽè¢«æ‰‹æœ¯æ²»æ„?/span></strong><span style="color: #434343; --tt-darkmode-color: #A3A3A3;">ã€?/span></span></p><p data-track="2"><br/></p><p style="text-align: left;" data-track="4"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">1、什么是搏动性耳鸣åQ?/span></strong></span></p><p style="text-indent: 2em;" data-track="5"><span style="letter-spacing: 1px;">耳鸣是生‹zÖM¸­å¸¸è§çš„ç—‡çŠÓž¼Œå…¨ä¸–ç•?0åQ…~30åQ…的成äh都曾有过耳鸣的经历。我国耳鸣的发生率¾U¦äؓ17åQ…,¾U¦å è€³éËE喉科门诊量的10åQ…~20åQ…,而搏动性耳鸣则是耳鸣中较为罕见的一¿Uç±»åž‹ï¼Œåªå å…¨éƒ¨è€³é¸£çš?åQ…左叻I¼Œä½†æˆ‘们äh口基数大åQŒå…¨å›½çš„搏动性耳鸣患者仍有约1000万之多,òq¶ä¸”逐年增加­‘‹åŠ¿ã€?/span></p><p style="text-indent: 2em;" data-track="5"><span style="letter-spacing: 1px;"><br/></span></p><p style="text-align: center;"><br/></p><p style="text-align: left;" data-track="8"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">02 搏动性耳鸣的主要äÍ床表çŽ?/span></strong></span></p><p style="text-indent: 2em;" data-track="10"><span style="letter-spacing: 1px;">搏动性耳鸣的患者通常是这æ äh˜qîC»–们所听到的声音的—â€?/span></p><p style="text-indent: 2em;" data-track="11"><span style="letter-spacing: 1px;">像心脏或血½Ž¡è„‰æèŸ©åŠ¨æ ·çš„耳鸣壎ͼŒå…·ä½“说来有点像æ‡L涛声、水泵声、哗哗声½{‰ç­‰â€¦â€?/span></p><p style="text-indent: 2em;" data-track="12"><span style="letter-spacing: 1px;">跟其他耳鸣最大的区别ž®±æ˜¯è€³é¸£çš„声韌™Š‚律与患者的心蟩、脉搏同步ã€?/span></p><p style="text-indent: 2em;" data-track="13"><span style="letter-spacing: 1px;">跟其他类型的耳鸣一æ øP¼ŒæåŠ¨æ€§è€³é¸£æœ€å¤§çš„危害在于长时间耳鸣会严重媄响生‹z…R€å·¥ä½œã€ç¡çœ ï¼Œç”šè‡³å¼•è“v抑郁、焦虑等¾_„¡¥žå¼‚常ã€?/span></p><p data-track="15"><br/></p><p style="text-align: left;" data-track="16"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">03 哪些原因可能引è“v搏动性耳鸣åQ?/span></strong></span></p><p style="text-indent: 2em;" data-track="17"><span style="letter-spacing: 1px;">目前åŒÕd­¦ä¸Šå¯¹æåŠ¨æ€§è€³é¸£çš„确切发病机制尚无定论,对病理生理过½E‹æ²¡æœ‰æ¸…晰深入的认知。但ž®Þq›®å‰çš„研究现状来看åQŒèƒ½å¼•è“v搏动性耳鸣的因素有几十¿Uï¼Œå…¶ä¸­è¡€½Ž¡æºæ€§å› ç´ æœ€ä¸ºå¸¸è§ã€?/span></p><p style="text-indent: 2em;" data-track="18"><span style="letter-spacing: 1px;">˜q™æ˜¯å› äؓè€Ïxœµç´§é‚»ä¸€äº›å¤´éƒ¨å¤§è¡€½Ž¡ï¼Œå¦‚果血½Ž¡é‡Œé¢çš„è¡€‹¹åµåµé—¹é—¹å¥”腾而过åQŒè€Ïxœµž®±æœ‰å¯èƒ½å¬å¾—刎ͼŒž®¤å…¶ä¸€æ—¦å…³æ³¨åˆ°˜q™ç§å£°éŸ³òq¶è®¤ä¸ºæ˜¯â€œå™ªéŸ³â€åŽåQŒä½ ž®×ƒ¼š­‘Šæ¥­‘Šæ³¨æ„åˆ°å®ƒçš„存在åQŒç”šè‡³äؓ此而烦恹{€?/span></p><p data-track="19"><br/></p><p data-track="21"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">04 下面来看一下哪些血½Ž¡æåŠ¨æ€?/span></strong></span></p><p data-track="22"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">耳鸣原因åQ?/span></strong></span></p><p data-track="23"><span style="letter-spacing: 1px;"><strong>1. 动脉源性因ç´?/strong></span></p><p style="text-indent: 2em;"><span style="letter-spacing: 1px;">最常见的是脑动静脉畸åŞ、颅底硬脑膜动静脉瘘、外伤性颈内动脉æ“v¾l늪¦ç˜˜ã€‚è¿™¿UåŽŸå› äÍ床上不常见ã€?/span></p><p data-track="25"><span style="letter-spacing: 1px;"><strong>2. 静脉源性因ç´?/strong></span></p><p style="text-align: center;"><img src="/rayyuploads/20221125/202211251019451477.jpg" title=""/></p><p style="text-indent: 2em;" data-track="26"><span style="letter-spacing: 1px;">大部分都是由于脑静脉½H¦çš„解剖变异所è‡ß_¼Œå¦‚较大的乙状½H¦æ†©å®¤ã€ä¹™çŠ¶çª¦æ‰©å¼ å‰ç½®ã€é«˜ä½é¢ˆé™è„‰çƒã€ä¹™çŠ¶çª¦å‰å£éª¨è´¨¾~ºå¤±ã€äã^½Hå¯¼é™è„‰å¼‚常及横½H¦ä¸Žä¹™çŠ¶½H¦äº¤ç•ŒåŒºç‹­çª„½{‰ã€‚è¡€½Ž¡æåŠ¨æ€§è€³é¸£å¸¸å¸¸ç”Þp¿™¿UåŽŸå› æ‰€å¼•è“vã€?/span></p><p style="text-align: center;"><img src="/rayyuploads/20221125/202211251019560386.gif" title=""/></p><p data-track="27"><span style="letter-spacing: 1px;"><strong>3. 肿瘤性因ç´?/strong></span></p><p style="text-indent: 2em;" data-track="28"><span style="letter-spacing: 1px;">鼓室体瘤和颈静脉球瘤åQŒè¿™äº›è‚¿ç˜¤å› ä¸ø™¡€ä¾›å¼‚å¸æ€¸°å¯Œè€Œäñ”生了局部的血‹¹ç´Šä¹±ï¼Œä¹Ÿå¯ä»¥ç†è§£äؓ血½Ž¡æºæ€§å› ç´ ã€‚äÍ床上常常会碰到由于颈静脉球高位引èµïLš„è¡€½Ž¡æåŠ¨æ€§è€³é¸£ã€?/span></p><p data-track="29"><br/></p><p data-track="30"><br/></p><p style="text-align: center;" data-track="31"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">05 发现血½Ž¡æåŠ¨æ€§è€³é¸£åº”该咋办åQ?/span></strong></span></p><p style="text-indent: 2em;" data-track="32"><span style="letter-spacing: 1px;">大部分的搏动性耳鸣背后都有特定的、有˜q¹å¯å¾ªçš„原发病理改变åQŒåªè¦æ‰¾å‡†ç—…å› åƈ予以正确的对因治疗,多数患者预后都是很不错的。所以,一旦发现自己听到这些跟脉搏、心脏同步的声音åQŒè¦˜q™æ ·åšæ‰å¯¹â€”â€?/span></p><p data-track="33"><span style="letter-spacing: 1px;"><strong>1、尽早前往正规医院ž®±åŒ»åQ?/strong></span></p><p data-track="34"><span style="letter-spacing: 1px;"><strong>2、医生会½Ž€å?typo id="typo-1102" data-origin="çš? ignoretag="true">çš?/typo>问病史查ä½?/strong>åQŒæ¯”如拿听诊器压在你的耳道及周围听一听有没有血½Ž¡æ‚韻I¼Œ˜q˜ä¼šåŽ‹ä¸€åŽ‹é¢ˆéƒ¨å¤§è¡€½Ž¡ï¼Œæˆ–者帮你è{转头åQŒçœ‹è€³é¸£æ˜¯å¦å‘生变化åQŒè¿™äº›æ–¹æ³•å¯ä»¥åˆæ­¥åˆ¤æ–­ä½ çš„搏动性耳鸣是否ä¸ø™¡€½Ž¡æºæ€§ï¼Œæ˜¯é™è„‰æºæ€§è¿˜æ˜¯åŠ¨è„‰æºæ€§ã€?/span></p><p data-track="35"><span style="letter-spacing: 1px;"><strong>3、检查:</strong></span></p><p style="text-indent: 2em;" data-track="36"><span style="letter-spacing: 1px;">ä¸ÞZº†æ˜Žç¡®è¯Šæ–­˜q˜éœ€è¦åš˜q›ä¸€æ­¥çš„‹‚€æŸ¥ï¼Œæ¯”如颈动脉彩­‘…、磁共振血½Ž¡æˆåƒï¼ˆMRA/MRVåQ‰ã€CT血½Ž¡æˆåƒï¼ˆCTA/CTVåQ‰ã€æ•°å­—减å½Þp¡€½Ž¡é€ åª„åQˆDSAåQ‰ç­‰‹‚€æŸ¥æ‰‹ŒDµï¼Œå¯ä»¥é’ˆå¯¹æ€§åœ°åº”用åˆîC¸åŒä¸ªä½“,全面地扫描头颈部血½Ž¡æƒ…况åƈ排除肿瘤½{‰å…¶ä»–疾患,准确地揪出病因ã€?/span></p><p data-track="37"><br/></p><p data-track="38"><br/></p><p style="text-align: left;" data-track="39"><span style="letter-spacing: 1px;"><strong><span style="color: #954930; --tt-darkmode-color: #954930;">06 搏动性耳鸣的治ç–?/span></strong></span></p><p style="text-indent: 2em;" data-track="40"><span style="letter-spacing: 1px;">搏动性耳鸣的治疗可以分ä¸ÞZ¿å®ˆæ²»ç–—和手术æ²È–—ã€?/span></p><p style="text-indent: 2em;" data-track="41"><span style="letter-spacing: 1px;"><strong>1. 保守æ²È–—åQ?/strong>对于病情较轻的患者,可以采用行äؓ认知疗法或者声掩蔽、声习服½{‰å£°æ²È–—的方式进行治疗ã€?/span></p><p style="text-indent: 2em;" data-track="42"><span style="letter-spacing: 1px;"><strong>2. 手术æ²È–—åQ?/strong>对于病情较顽固的患者,可以采取手术æ²È–—的方式积极纠正解剖结构的畸åŞåQŒå¤§å¤šæ•°æ‚£è€…可取得良好疗效ã€?/span></p><p style="text-indent: 2em;" data-track="43"><span style="letter-spacing: 1px;"><strong>手术方式包括åQ?/strong>常见手术æ–ÒŽ³•æœ‰ä¾§é¢…底切开加乙状窦¾~©çª„术、高位颈静脉球成形术½{‰ã€?/span></p><p data-track="44"><br/></p><p style="text-align: center;"><img src="/rayyuploads/20221125/202211251020091640.gif" title=""/></p><p style="text-align: right;" data-track="45"><br/></p><p data-track="47"><br/></p><p style="text-align: left;" data-track="48"><span style="letter-spacing: 1.5px;"><strong>作者简ä»?/strong></span></p><p style="text-align: center;"><img src="/rayyuploads/20221125/202211251020179767.jpg" title=""/></p><p style="text-align: center;" data-track="49"><span style="letter-spacing: 1px;"><strong>æž?‹‚?/strong></span></p><p style="text-indent: 2em;" data-track="50"><span style="letter-spacing: 1px;">瑞安市äh民医院耳éËE咽喉¿U‘学术带头ähåQŒç§‘副主ä»?/span></p><p style="text-indent: 2em;" data-track="51"><span style="letter-spacing: 1px;">ä¸ÖM“QåŒÕd¸ˆ</span></p><p style="text-indent: 2em;" data-track="52"><span style="letter-spacing: 1px;">温州åŒÈ§‘大学¼‹•å£«ç ”究生导å¸?/span></p><p style="text-indent: 2em;" data-track="53"><span style="letter-spacing: 1px;">温州市第六轮åŒÕd­¦é‡ç‚¹å­¦ç§‘带头äº?/span></p><p data-track="54"><span style="letter-spacing: 1px;"><strong>学术任职åQ?/strong></span></p><p style="text-indent: 2em;" data-track="55"><span style="letter-spacing: 1px;">‹¹™æ±ŸçœåŒ»å¸ˆåä¼šè€³éËE咽喉¿U‘分会委å‘?/span></p><p style="text-indent: 2em;" data-track="56"><span style="letter-spacing: 1px;">温州市医学会耳éËE咽喉¿U‘分会委å‘?/span></p><p style="text-indent: 2em;" data-track="57"><span style="letter-spacing: 1px;">以第一作者或通讯作者发表SCI和中华耳éËE咽喉头颈外科杂志½{‰è®ºè‘?0多篇åQŒå…¶ä¸­SCI收录论文10多篇åQ›å‘明专åˆ?™åV€?/span></p><p data-track="58"><span style="letter-spacing: 1px;"><strong>业务专长åQ?/strong></span></p><p style="text-indent: 2em;" data-track="59"><span style="letter-spacing: 1px;">擅长è€Ïx˜¾å¾®å¤–¿U‘手术,人工听骨植入åQŒçœ©æ™•è€³é¸£åQ›éËE内镜微创以及咽喉½{‰ç¦»å­å¾®åˆ›æ‰‹æœ¯ç­‰åQŒæ¯òq´å®Œæˆæ‰‹æœ¯ä¾‹æ•?00例以上ã€?/span></p><p data-track="60"><span style="letter-spacing: 1px;"><strong>联系方式åQ?/strong>林医ç”?3515871723åQˆå¾®ä¿¡åŒåøP¼‰</span></p><p><br/></p><p><br/></p> <!--<$[正文]>end--> </div> <script type="text/javascript"> var size = 14; function changeSize(type) { if (type == "bigger") { size += 2; } else { if (size > 14) { size -= 2; } } $("#newsnr").css("font-size", size + "px").css("line-height", '2em'); $("#newsnr p").css("font-size", size + "px").css("line-height", '2em'); $("#newsnr span").css("font-size", size + "px").css("line-height", '2em'); $("#newsnr a").css("font-size", size + "px").css("line-height", '2em'); 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