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复发或残留胆脂瘤的手术治疗
引用本文:赵守琴,赵春莉,汪文正,郭继周. 复发或残留胆脂瘤的手术治疗[J]. 听力学及言语疾病杂志, 1999, 7(4): 194-196
作者姓名:赵守琴  赵春莉  汪文正  郭继周
作者单位:1. 首都医科大学附属北京同仁医院耳鼻咽喉科,北京,100005
2. 辽宁省朝阳市中心医院耳鼻咽喉科
3. 安徽省池洲地区医院耳鼻咽喉科
摘    要:目的 探讨胆脂瘤复发和残留的发病因素和治疗方法。方法 对91 例(96 耳) 乳突再根治患者进行临床分析总结;结果 首次手术不彻底或术后引流不畅是胆脂瘤复发和残留的主要原因。86 耳行乳突再根治术,10 耳行乳突再次手术加鼓室形成术。其中82 例(86 耳) 随访1 ~11 年,除5 例复发外,其他均痊愈。结论 对于复发和残留的胆脂瘤,乳突再手术必须以清除病变、防止再复发为根本宗旨,其次考虑保留和提高听力

关 键 词:胆脂瘤  复发  残留  手术

Surgery for Recurrent or Residual Cholesteatoma
Zhao Shouqin, Zhao Chunli,WangWenzheng,et al.. Surgery for Recurrent or Residual Cholesteatoma[J]. Journal of Audiology and Speech Pathology, 1999, 7(4): 194-196
Authors:Zhao Shouqin   Zhao Chunli  WangWenzheng  et al.
Affiliation:Zhao Shouqin, Zhao Chunli,WangWenzheng,et al.(Department of Otolaryngology,Tongren Hospital,Capital University of MedicalSciences,Beijing, 100005)
Abstract:Objective To study the causes and treatment of recurrent and residual cholesteatoma.Methods The operative findings in 91 patients who underwent revision mastoid surgery were analysed.Results The main cause of recurrent and residual cholesteatoma was the uncomplete primary mastoidectomy,the revision mastoid surgery was performed in 86 ears and the tympanoplasty with mastoidectomy was performed in 10 ears;82 cases were followed up from 1 to 11 years,in which 5 cases recurred.Conclusion Complete removal of cholesteatoma is the key point in revision surgery.
Keywords:Cholesteatoma Recurrent Residual Operative
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