论文部分内容阅读
目的 :探讨颞骨先天性胆脂瘤的诊断及治疗方法。方法 :对 1980～ 2 0 0 2年收治的 16例患者的临床资料进行回顾性分析。结果 :16例均经手术治疗、病理证实。经 0 .5～ 3年的随访 ,面瘫恢复或部分恢复 6例 ,听力提高 5例 ,2例复发再次手术治愈 ,无特殊严重的并发症。结论 :诊断本病应根据患者的症状、体征及影像学检查结果 ,MRI可良好地显示病灶及其与周围 (包括颅内结构 )的关系 ,同时也是诊断先天性胆脂瘤的重要方法。鼓膜完整不是诊断的必要条件 ,手术径路的选择应根据病变范围而定 ,彻底清除病变是防止复发的关键。
Objective: To investigate the diagnosis and treatment of temporal bone congenital cholesteatoma. Methods: The clinical data of 16 patients admitted from 1980 to 2002 were analyzed retrospectively. Results: All 16 cases were surgically treated and confirmed by pathology. After 0.5 to 3 years of follow-up, facial paralysis recovered or partially recovered in 6 cases, 5 cases of increased hearing, 2 cases of recurrence were cured again without serious complications. Conclusion: The diagnosis of this disease should be based on the patient’s symptoms, signs and imaging findings, MRI can be a good display of the lesion and its relationship with the surrounding (including intracranial structures), but also an important method of diagnosis of congenital cholesteatoma. Eardrum is not a complete diagnosis of the necessary conditions, the choice of surgical approach should be based on the extent of the lesion, complete removal of the lesion is the key to preventing recurrence.