耳内窥镜下微创治疗耳胆脂瘤37例临床分析  

Clinical analysis of minimally invasive treatment of 37 cases of auricle olesteatoma by otic Endoscopic management

作　　者：鞠善德[1] 高顺华[1] 

机构地区：[1]吉林省前卫医院,吉林长春130012

出　　处：《吉林医学》2005年第12期1294-1295,共2页Jilin Medical Journal

摘　　要：目的:探讨耳内窥镜下治疗外耳道胆脂瘤疾病的优越性和治疗胆脂瘤性中耳炎的局限性。方法:利用耳内窥镜对37例(42耳)外耳道胆脂瘤、胆脂瘤型中耳炎、胆脂瘤型中耳炎术后复发或残留的患者进行治疗。结果:经随访3～14个月,共治愈34例(39耳),4例(4耳)好转,治愈率92.8%(39/42耳)。结论:耳内窥镜下治疗外耳道胆脂瘤疾病较其他法具有明显的优越性,而在治疗胆脂瘤型中耳炎或其术后复发、残留的患者中仍有局限性。但对无法接受手术的病例耳内镜下治疗可减缓或阻止疾病的进一步发展,具有一定的意义。Objective To investigate the advantage of otic endoscope in treatment of auricle cholesteatoma and its limit in cholesteatomatous tymanitis. Method Use otic endoscope to treat 37 cases with 42 ears with auricle cholesteatoma, cholesteatomatous tymanitis and the relapse and remain cases, Results After 3 to 14 months of follow-up, 34 cases with 39 ears were cured, 4 cases with 4ears were improved. The cure rate is 92.8%（39/42 ears）. Conclusion It is more effective to use otic endoscope to treat auri- cle cholesteatoma than traditional management, but the effect is limited in cholesteatomatous tymanitis and the relapse and remain cases. However it is useful for the patients who can＇t endure operation to slower or hold back the progress of the ailment.

关 键 词：耳内窥镜 外耳道胆脂瘤 胆脂瘤性中耳炎 微创 治疗 

分 类 号：R764[医药卫生—耳鼻咽喉科]