16例特殊类型胆脂瘤型中耳乳突炎诊治体会  

Special Manifestation Types of Middle Ear Cholesteatoma

作　　者：王志刚 张镭 

机构地区：[1]河南开封市中心医院耳鼻咽喉头颈外科,开封473000

出　　处：《河南外科学杂志》2015年第4期18-19,共2页Henan Journal of Surgery

摘　　要：目的分析特殊类型胆脂瘤型中耳乳突炎的表现,提高诊断的准确性、治疗的及时性及手术方式的合理性。方法对16例特殊类型胆脂瘤型中耳乳突炎患者行外耳道入路手术,回顾性分析患者的临床资料。结果 16例患者病理检查均为胆脂瘤,术后听力恢复正常,低频耳鸣患者耳鸣消失,高频耳鸣强度减轻。结论对鼓膜正常、听力下降不明显、不易治愈的外耳道炎和/或息肉患者应摄颞骨CT检查,尽早确诊、治疗以减少并发症。耳道内入路手术创伤小、恢复好。Objective To analyze some special otomastoiditis manifestations of cholesteatoma, and improve the diagnostic accuracy, treatment timeliness and reasonability of surgical method. Methods Conduct retrospective analysis on the clinical data of 16 patients with mid- dle ear cholesteatoma, which mainly include the symptoms as purulent blood, purulent otorrhea and intermittent aural fullness, no significant hearing loss, with purulent secretion and/or polyps in external auditory canal, and the tympanic membrane is normal. External auditory canal endoscopic surgery has been taken on 16 patients. Results Pathological examination indicates that all of the 16 patients have got cholesteato- ma, hearing recovers to normal ＇after surgery, low frequency tinnitus disappears, and high frequency tinnitus relieves. Conclusion Patients with normal tympanic membrane, no significant hearing loss, and hard - to - treat otitis external polyps should take temporal bone CT examina- tion for early confirmed diagnosis, treatment, so as to reduce complications. Auditory canal endoscopic surgery has the advantages of small trau- ma and good recovery.

关 键 词：中耳炎 胆脂瘤 诊断 手术 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]