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目的探讨外耳道胆脂瘤临床特点及手术治疗效果。方法回顾2008年1月～2010年12月31例(34耳)手术治疗的外耳道胆脂瘤患者病历资料,统计分析外耳道胆脂瘤患者临床特点、手术方式及预后效果。结果本组31例(34耳)中单耳病变28例,双耳病变3例,既往有耳病史22例,占70.97%,无症状9例,占29.03%;主诉耳痛14例、耳闷涨8例,耳鸣12例、听力下降9例、耳漏4例,其中合并两种以上症状11例。27例(30耳)行胆脂瘤清除术及外耳道成形术,4例(4耳)行改良乳突根治术。所有患者手术均顺利完成,术中无鼓索神经及面神经损伤,术后恢复良好,治愈出院。结论根据病情采取手术治疗外耳道胆脂瘤手术效果可靠,是去除病因、消除症状、防止病情进展的有效方法。
Objective To investigate the clinical characteristics and surgical treatment of external auditory canal cholesteatoma. Methods The clinical data of 31 cases (34 ears) of cholesteatoma treated with external auditory meatus were retrospectively analyzed from January 2008 to December 2010. The clinical features, surgical methods and prognosis of external auditory canal cholesteatoma were analyzed statistically. Results In the group of 31 cases (34 ears), there were 28 cases of unilateral ear lesions and 3 cases of binaural lesions. Previously, there were 22 cases of ear disease (70.97%), 9 cases of asymptomatic symptom (29.03%), 14 cases of otolarygia Up 8 cases, 12 cases of tinnitus, hearing loss in 9 cases, 4 cases of otorrhea, of which 11 cases were combined with two or more symptoms. Twenty-seven patients (30 ears) underwent cholesteatoma resection and external auditory canal angioplasty, and 4 cases (4 ears) underwent radical mastoidectomy. All patients were successfully completed surgery without intracranial nerve and facial nerve injury, postoperative recovery was good, cured and discharged. Conclusion Surgical treatment of external auditory canal cholesteatoma according to the disease has reliable operation effect and is an effective method to remove the cause, eliminate the symptoms and prevent the progression of the disease.