外耳道胆脂瘤68例临床分析

目的探讨外耳道胆脂瘤的病因和治疗方法。方法回顾性分析北京煤炭总医院1995 2004年治疗的外耳道胆脂瘤68例的临床资料。结果多数患者外耳道皮肤有慢性炎症,且外耳道骨壁出现不同程度扩大、侵蚀,甚至向远深部扩展累及中耳、颈静脉和面神经。其中11例经手术治愈。结论外耳道胆脂瘤可以造成广泛破坏,应根据病变范围、局部感染与否和患者全身情况尽早彻底清除病灶。

The Clinical Analysis of External Ear Canal Cholesyeatoma

Objective To study the cause and treatment of external acoustic meatus cholesyeatoma.Methods Sixty-eight cases of external acoustic meatus cholesyeatoma were reviewed.Results The most cases of external acoustic meatus cholesyeatoma presented with skin chronic infection and bone erosion from mild to severe.The middle ear,jugular vein and facial nerve were invaded in some cases.11 cases were treated with surgery to remove the cholesyeatoma sac and necrotic bone.Conclusion The disease can cause damage extensively.Early and comprehensive treatment is importment.