摘要
目的探讨外耳道胆脂瘤的手术治疗方法。方法回顾性分析经临床和病理确诊的35例外耳道胆脂瘤的临床诊治情况。局限于外耳道的外耳道胆脂瘤20例(I型),行外耳道胆脂瘤清除术;侵及中耳的外耳道胆脂瘤15例(II型),行乳突根治术及鼓室成形术。所有病例随访3个月~3年。结果单纯外耳道胆脂瘤患者,术后无复发;侵及中耳及乳突的外耳道胆脂瘤,手术成功率为86.7%(13/15)。结论外耳道胆脂瘤根据侵及范围,采用不同手术方法治疗,疗效满意。
Objective To explore the therapy of external auditory cholesteatoma. Methods A retrospective study was carried out among 35 cases with this lesion treated in our hospital. All the cases were diagnosed on the basis of pathological determination. Among the cases ,20cases limited in external auditory canal were treated with focus clearance; 15 cases invading to middle ear, were treated with mastoidotympanectomy and tympanoplasty; o with period of 3 months to 3 year follow-up. Results The successful rate was 100% (20/20)in group I, 86. 7% ( 13/15)in group II, Conclusion Basis of its range, external auditory canal cholesteatoma was treated with focus clearance, mastoidotympanectomy and canaloplasty of external auditory meatus.
出处
《中国实用医药》
2008年第33期37-38,共2页
China Practical Medicine
关键词
外耳道胆脂瘤
乳突根治术
外耳道成形术
External auditory canal cholesteatoma
Mastoidotympanectomy
Canaloplasty of externalauditory meatus