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诊断意义当经上鼓室冲洗出上皮样物(灰白色脂状鳞片),即可肯定伴有胆脂瘤。即使乳突无空洞阴影,这个诊断也有很大把握。这样就能确定治疗方针了,因为单纯上鼓室炎可施行保守疗法(冲洗上鼓室,耳内滴药,理疗等)。若合并胆脂瘤必须施行手术疗法。此外在怀疑有骨质破坏时亦可在上鼓室冲洗后再向上鼓室注入碘油作上鼓室碘油造影,能确诊上鼓室及乳突有无空洞情况。治疗意义洗出上鼓室内病理性内容物(如脓,上皮样物等),则胆脂瘤之诊断已属确实,必须告知患者此病若不治疗的危险性,并建议手术。若病人因某种
Diagnostic Significance When the upper tympanum flush epithelial samples (gray lipid scales), you can definitely be associated with cholesteatoma. Even if the mastoid shadowless, this diagnosis is also very sure. This will determine the treatment guidelines, because simple tympanitis can be performed conservative treatment (flushing the upper tympanic cavity, drip medicine, physiotherapy, etc.). If the merger cholesteatoma surgery must be implemented. In addition, when suspected bone destruction can also be washed up the tympanum and then into the upper tympanic cavity lipiodol for tympanic iodine contrast can be diagnosed on the tympanic cavity and mastoid whether empty. Therapeutic significance Washing out of the drum on the pathological contents of the interior (such as pus, epithelial samples, etc.), the diagnosis of cholesteatoma has been true, the patient must inform patients of the risk of non-treatment, and recommended surgery. If the patient because of something