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对276例颈静脉球体瘤中的231例(女198,男33,年龄20~88岁)进行随访,做回顾性分析。根据Alford和Guiford法分期,0期24例(球体瘤局限于中耳腔内,鼓膜完整,仅有耳鸣及听觉障碍),其中19例在鼓室后方可见蓝色肿物,8 例Brown氏征阳性,电测听检查22耳呈传导性聋。Ⅰ期80例(球体瘤已穿破鼓膜,并伴有流脓及传导性聋)乳突平片未见骨质破坏。Ⅱ期46例(肿瘤除出现Ⅰ期症状外,并有面瘫,乳突平片显示有骨质破坏)。Ⅲ期39例(瘤体已超出中耳腔范围,有0~Ⅱ期症状,伴有眩晕和声嘶),
231 cases (198 females, 33 males, aged 20-88 years) of 276 cases of jugular glomus tumors were followed up for retrospective analysis. According to the Alford and Guiford method staging, 24 patients were in stage 0 (balls were confined to the middle ear and the tympanic membrane was intact with only tinnitus and hearing impairment). Among them, 19 patients had a blue mass behind the tympanum, and 8 patients had a positive Brown sign. , Electro-acoustic examination of 22 ears showed conductive hearing loss. In stage I, 80 cases (balls have worn through the tympanic membrane, accompanied by pus and conductive hernia) had no bone destruction. There were 46 patients in stage II (in addition to stage I symptoms of the tumor, there were facial paralysis and mastoid plain films showed bone destruction). Stage III 39 cases (the tumor body has exceeded the scope of the middle ear cavity, there are 0 ~ II symptoms, accompanied by dizziness and hoarseness),