外耳道及中耳恶性肿瘤的临床.pdf

中国耳鼻咽喉头颈外科/2011年1月，第18卷，第1期 外耳道及中耳恶性肿瘤的临床分析 赵慧贤，朱丽雅，叶放蕾，彭丹丹 （郑州大学第一附属医院耳鼻咽喉科，河南　郑州　450052） [摘　要]　目的　探讨外耳道及中耳恶性肿瘤的临床表 manifestations, diagnosis and treatment of carcinomas 现、诊断要点及治疗原则和方法，以期提高患者生存率， of the external auditory canal and middle ear, and to 改善生活质量。 　回顾性分析 年 月～ 年 月 方法 2003 6 2009 6 improve the survival rate and the quality of life of the 我院确诊的 例外耳道及中耳恶性肿瘤患者的临床资料。 25 patients. METHODS　The clinical data of 25 patients 　按 系统临床分期， 期 例， 期 例， 结果 Still T 1 5 T2 15 T3 with carcinoma of the external auditory canal and middle 期 例， 年生存率 ， 年生存率 ，单纯手术治疗 5 2 87% 5 67% ear treated in our hospital from June, 2003 to June, 2009 易复发。 　针对不同病例选择合适的治疗方案，早期 were retrospectively studied . RESULTS A mong the 结论 　 诊断、早期治疗是提高 年生存率的关键，以手术为主结合 5 25 cases, there were 5 cases in T 1 stage, 15 cases in 放、化疗的综合治疗是本病最佳治疗手段。 T2 stage and 5 cases in T3 stage according to the Still 　耳肿瘤；耳道；中耳；颞骨 （ ） [关键词] 1985 clinical staging system. The 2-year and 5-year surv ival rates were 87% and 67% respect ively. T he Carcinoma of the external auditory canal and middle ear patients with surgery alone had a high rate of recurrence. ZHAO Huixian, ZHU Liya, YE Fanglei, PENG Dandan CONCLUSION　The early diagnosis, early treatment (De pa rt me nt of Oto la ry ngo logy, t he First Aff iliated and application of the rational treatment according to the Hospital, Zhengzhou University, Zhengzhou, Henan, clinical stage of the patients is