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自1977年在依阿华洲举行第一届国际胆脂瘤专题讨论会以来,关于胆脂瘤关闭术式正反两种意见的争论就从未停止过。对不同的、然而有一部分是继发及复发率很高的胆脂瘤应放弃进行关翔性手术,因为它常需再次手术。作者从10多年来的7,246例耳科手术中分析了654例再手术的病例,其中290例再次手术发现有胆脂瘤。通过填表的再调查研究,发现246例患者再手术后的术腔干燥并获关闭的耳腔,其中96例听力亦得到改善。有35名患者(12.5％)未能治愈,仍有穿孔
Since the first International Symptomatic Cholesteatoma Symposium was held in Iowa in 1977, the controversy over the pros and cons of cholesteatoma closure has never stopped. For different, however, some patients with cholesteatoma who have secondary and recurrent rates should be given up for surgery because it often requires reoperation. The authors analyzed 654 re-operative cases from 7,246 otologic surgeries over a period of more than 10 years, of which 290 had cholesteatoma again after surgery. Through the re-investigation of the form, 246 patients were found to have a dry and closed ear cavity after reoperation, of which 96 had hearing improvements. Thirty-five patients (12.5%) failed to heal and were still perforated