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外耳道胆脂瘤的临床特点及治疗
引用本文:李鹏,黄顺德,谢景华,吴晓钟,高雄辉. 外耳道胆脂瘤的临床特点及治疗[J]. 广州医药, 2010, 41(2): 11-12. DOI: 10.3969/j.issn.1000-8535.2010.02.005
作者姓名:李鹏  黄顺德  谢景华  吴晓钟  高雄辉
作者单位:广州市第一人民医院耳鼻咽喉科,510180
摘    要:目的探讨外耳道胆脂瘤(EACC)的临床特点和处理方法。方法回顾性分析我科2003--2008年收治的35例外耳道胆脂瘤患者的临床资料。结果外耳道胆脂瘤主要临床症状为耳漏、耳痛、听力下降等,好发于中老年。检查外耳道均有阻塞物,CT显示外耳道有不同程度骨质破坏。全部病例经手术治疗,随访1~6年无复发,听力明显提高。结论耳内窥镜检查及颞骨CT扫描对外耳道胆脂瘤的诊断和防止误诊十分重要,治疗原则是根据病变范围、破坏程度选择合适术式彻底清除胆脂瘤和死骨,防止残留和复发。

关 键 词:外耳道  胆脂瘤  治疗

The clinical analysis of external acoustic meatus cholesteatoma
Affiliation:Li Peng, Huang Shunde, Xie Jinghua, et al.( Department of Otolaryngology, the First Municipal People's Hospital of Guangzhou, Guangzhou 510180, China )
Abstract:Objective To explore the clinical characteristics and treatment of external acoustic meafus cholesteatoma(EACC). Methods The clinical data of 35 cases with external acoustic meafus cholesteatoma from 2003 to 2008 were retrospectively analysed. Results Patients presented with otorrhea,otalgia,hearing loss.This disease was more frequently seen in middle and oldaged.CT scans showed a soft tissue mass with adjacent bone erosion.All the cases were treated with complete removal of the cholesteatoma,degenerated ti...
Keywords:External acoustic meatus  Cholesteatoma  Treatment  
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