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目的:隐蔽性乳突炎在耳科诊断上较难,为了让更多的医生能准确的诊断隐蔽性乳突炎并及时得到正确的治疗,避免或减少其它并发症的发生。方法:归纳总结我科1997年1月至2004年12月,结合临床体征、ⅹ线平片、颞骨薄层CT扫描等方法,结合术中所见,对隐蔽性乳突炎的诊断治疗提出临床特点。结果:13例中耳隐蔽性乳突炎,病程由1.5个月至15年,在未出现其它任何症状之前,临床症状均不典型,每例病人出现的症状不尽相同,依病人情况不同,我们采取了不同术式,术中发现乳突腔内有肉芽形成或包裹脓肿形成,重者有明显的骨髓炎及骨质破坏,除1例未经手术治疗合并有颅内感染后死亡,其余均经手术治疗。结论:该病临床症状不典型,颞骨CT薄层扫描是主要的诊断方法,早期诊断及时治疗对减少并发症是必要的。
Objective: Concealed mastoiditis is more difficult to diagnose in the otology. In order to allow more doctors to accurately diagnose the concealed mastoiditis and get the correct treatment in time, other complications can be avoided or reduced. Methods: To summarize our department from January 1997 to December 2004, combined with clinical signs, ⅹ line plain film, temporal bone thin layer CT scan and other methods, combined with intraoperative findings, the diagnosis and treatment of hidden mastoiditis clinical Features. Results: Thirteen patients with middle ear masked mastoiditis, the course of which ranged from 1.5 months to 15 years. Before the onset of any other symptoms, the clinical symptoms were not typical. The symptoms of each patient were different. According to the patient’s condition, We have taken different surgical procedures, found intraoperative mastoid granulation or parcel abscess formation, severe osteomyelitis and bone destruction were significant, with the exception of 1 case without surgical treatment of intracranial infection with death, the rest Surgical treatment. Conclusion: The clinical manifestations of the disease is not typical, temporal bone CT scanning is the main method of diagnosis, early diagnosis and timely treatment of complications is necessary to reduce.