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目的 探讨颈静脉鼓室球瘤的手术方法。方法 回顾性分析 1982～ 1998年 11例手术治疗的颈静脉鼓室球瘤 (鼓室球瘤Ⅱ型 1例、Ⅲ型 1例及Ⅳ型 3例 ;颈静脉球瘤Ⅰ型 1例、Ⅲ型 5例 )术式及治疗效果。结果 肿瘤均予以完全切除 ,术后均一期愈合。 1例术后喉返神经麻痹。术后随诊 1～ 8年 ,平均 3年 9个月 ,无复发者。结论 鼓室球瘤宜采用耳后切口入路 ;颈静脉球瘤Ⅰ型采用耳后切口向下延长至颈部 ,III型采用耳后大C形切口行颞骨、颞下窝及颈部肿瘤切除。
Objective To explore the surgical method of jugular bulbomas. Methods A retrospective analysis was performed on 11 cases of jugular bulbous tympanoma (tympanosoma type 1 in type 1, type Ⅲ in 1 and type Ⅳ in 3 cases, type 1 in type 1 and type 5 in 1982 to 1998) ) Surgical procedures and treatment. Results All the tumors were completely resected and healed one time after operation. A case of recurrent laryngeal nerve paralysis. Follow-up 1 to 8 years after surgery, an average of 3 years and 9 months, no recurrence. Conclusions Intratubial incision should be used for tympanosoma. Type Ⅰ of jugular vein tumor should be extended to the neck with ear incision, and type III should be removed with temporal C-notch and infratemporal fossa and neck tumor.