耳内镜手术围手术期管理

Perioperative management of endoscopic ear surgery

随着内镜设备的发展,耳内镜手术引起众多耳外科医生的兴趣,耳内镜外科逐渐在全国基层医院普及。规范的围手术期管理有助于初学者缩短学习曲线、减少并发症的发生。本文对耳内镜技术相关的设备器械、术前检查、知情同意、患者术前准备、手术室布局、术中可能遇到的困难和应对措施以及术后处理和随访等围手术期管理做了详细介绍。

With the rapid development of modern equipment and widespread familiarity with the relative knowledge, endoscopic ear surgery has attracted many oto-surgeons and is becoming more popular in primary hospitals in China. Standardized management of perioperative period in this field can help surgeons shorten the learning curve and avoid potential complications in endoscopic ear surgery. In this article, the management technique was introduced in detail, covering five main aspects including handling of related in-struments, preoperative examination and preparation, informed consent, preparation for patients and operation room setup. Extra focus was placed on the manipulation and resolution of possible difficulties during the procedure.