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在对二次性至中耳胆固醇瘤的西格蒙鼻血栓炎的治疗方面有经验
Jing Fei1, Xiao-Wen Peng1, Ting-Yu Yang1
1Department of Otorhinolaryngology, Head and Neck Surgery, Affiliated Hospital of Southwest Medical University, 25 Taiping Street, Luzhou City, 646000, Sichuan Province, China.
概括
通过手术治疗中耳胆固醇瘤的二次性sigmoid sinus thrombophlebitis,结合抗生素,可提供更好的预后. 在不打开西格状鼻的情况下手术切除胆固醇瘤导致症状改善和鼻再通道化.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 传染性疾病 传染性疾病
背景情况:
- 西格鼻血栓炎 (SST) 是中耳胆固醇瘤的一种罕见但严重的并发症.
- 早期诊断和适当的管理对于有利的结果至关重要.
研究的目的:
- 评估手术治疗SST二次至中耳胆固醇瘤的疗效.
- 为了评估保守的手术方法的结果,而不是sigmoid鼻开口.
主要方法:
- 在7年内对9名中耳胆固醇瘤导致的SST患者进行了回顾性分析.
- 手术治疗涉及修改后的乳腺切除术和 tympanoplasty,以移除胆固醇瘤.
- 患者接受了广泛的抗生素;不使用抗凝剂.
主要成果:
- 所有9名患者都接受了成功的手术治疗,症状有所改善.
- 手术后,3名患者在MRV上进行了再通道化,显示了部分的西格 sinus恢复.
- 没有报告远部器官感染或; 一名患者经历了暂时的面部.
结论:
- 术后抗生素和手术治疗是SST更好的预后的关键.
- 中耳病变的去除可以导致稳定的sigmoid sinus血栓,没有远程并发症.
- 耳整形有助于中耳通风;对于复杂的病例,建议进行多学科咨询.
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