颞骨岩部胆脂瘤的临床诊断与治疗

发布时间：2018-06-05 05:14

本文选题：胆脂瘤 + 岩骨　；参考：《中华耳科学杂志》2014年03期

【摘要】：颞骨岩部胆脂瘤是临床上的少见病,其围绕迷路,缓慢生长。临床症状主要有听力下降、面瘫、眩晕等,与颞骨其他疾病的症状相似,无特异性,容易误诊误治。随着影像手段及显微外科技术的逐步发展,岩部胆脂瘤的早期诊断及手术治疗方法逐步改进。本研究主要回顾了国内外近年岩部胆脂瘤的相关文献,结合我们诊治的病例,总结岩部胆脂瘤的病因分类、诊断及鉴别诊断,对岩部胆脂瘤的分型与手术入路的选择等进行分析总结,为临床进一步优化治疗方案、选择适合的手术方式,提高病人生存质量提供参考。
[Abstract]:Petrous cholesteatoma of temporal bone is a rare clinical disease. It grows slowly around labyrinth. The clinical symptoms are mainly hearing loss, facial paralysis, vertigo, etc. They are similar to other diseases of temporal bone and have no specificity and are easy to be misdiagnosed and mistreated. With the development of imaging techniques and microsurgical techniques, the early diagnosis and surgical treatment of petrosal cholesteatoma have been improved step by step. In this study, we reviewed the related literatures of petrocholesteatoma at home and abroad in recent years, and summarized the etiological classification, diagnosis and differential diagnosis of petrocholesteatoma combined with our diagnosis and treatment. The classification of petrosal cholesteatoma and the choice of operative approach were analyzed and summarized in order to provide reference for further optimization of clinical treatment, selection of suitable surgical methods and improvement of patients' quality of life.
【作者单位】：中国人民解放军总医院耳鼻咽喉头颈外科;辽宁医学院附属第一医院耳鼻咽喉头颈外科;天津市第一中心医院;
【基金】：国家自然科学基金面上项目(项目编号:30973305,81170908,81470683)
【分类号】：R764

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