颞骨先天性胆脂瘤的临床分析

摘要

Objective To investigate the lesion, congenital cholesteatoma of the clinical manifestations, diagnosis and surgery.Methods The clinical data of 8 cases of congenital cholesteatoma were analyzed retrospectively from January 2000 to July 2014 in our hospital.Results 8 cases of congenital cholesteatoma patients, aged 16~58 years old, male 5 cases, female 3 cases, about 4 cases in each ear; 6 cases of patients with lesions involving the tympanum and ossicular, closed type radical mastoidectomy and tympanoplasty; 2 cases of patients with lesions involving the mastoid, open mastoid radical tympanum and angioplasty. After reviewing one year of temporal bone CT found no residual or recurrent cholesteatoma. ConclusionCongenital cholesteatoma occult lesions, temporal bone high-resolution CT has decisive signiifcance for the diagnosis and treatment of the disease, surgical operation is the ifrst choice for most patients.%目的：探讨先天性胆脂瘤的病变部位、临床表现、诊断及手术。方法回顾性分析2000年1月～2014年7月我院收治的8例先天性胆脂瘤患者的临床资料。结果8例先天性胆脂瘤患者，年龄为16～58岁，男5例，女3例，患耳为左右各4例。6例患者病变累及鼓室及听小骨，行闭合式乳突根治及鼓室成形术；2例患者病变累及乳突，行开放式乳突根治及鼓室成形术。术后1年复查颞骨CT未发现胆脂瘤残留或复发。结论先天性胆脂瘤病变隐匿，颞骨高分辨CT对本病的诊断和治疗有决定性意义，治疗首选手术切除。