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我院近30年来收治胆脂瘤手术病人141例(144耳)。我们对其中病历记录完整的126例(129耳),作一临床分析。临床资料一、一般情况 126例中,男94例,女32例。年龄2～56岁。军人38例,渔民36例,工人11例,教师3例,15岁以下儿童37例,其他1例。术前诊断为胆脂瘤126例(129耳),手术证实101耳,术前诊断符合率79%。病程一年以内14例,2～5年30例,6～10年35例,11～15年10例,16～20年8例,21～35年20例。二、X线片检查诊断符合率本组病人术前作X线常规摄片,有明确胆脂瘤的113耳,经手术证实有胆脂瘤者101耳,X线片检查诊断符合率为89%。另16耳临床诊断为胆脂瘤,X线片病变不明显,手术探查符合骨疡型中耳炎12耳,余为单纯型中耳炎。术后标本作病理检查93耳,病理报告为胆脂瘤67耳,慢性炎症伴肉芽26耳,手术与病理基本一致。
141 cases (144 ears) of cholesteatoma surgery patients admitted to our hospital for nearly 30 years. We conducted a clinical analysis of 126 cases (129 ears) with a complete medical record. Clinical data First, the general situation 126 cases, 94 males and 32 females. Age 2 to 56 years old. 38 soldiers, 36 fishermen, 11 workers, 3 teachers, 37 children under the age of 15, the other one case. Preoperative diagnosis of cholesteatoma in 126 cases (129 ears), confirmed 101 ears, preoperative diagnosis of 79% compliance. The duration of disease was 14 in one year, 30 in 2 to 5 years, 35 in 6 to 10 years, 10 in 11 to 15 years, 8 in 16 to 20 years and 20 in 21 to 35 years. Second, the diagnostic X-ray examination in line with this group of patients preoperative X-ray conventional radiography, there are clear 113 cases of cholesteatoma confirmed by surgery, 101 cases of cholesteatoma, X-ray examination coincidence rate of 89 %. The other 16 cases of clinical diagnosis of cholesteatoma, X-ray lesions were not obvious, surgical exploration consistent with bone ulcer otitis media 12 ears, more than simple otitis media. Postoperative specimens for pathological examination 93 ears, pathological reports of cholesteatoma 67 ears, chronic inflammation with granulation 26 ears, surgery and pathology are basically the same.