中耳癌20例报告

Clinical analysis of 20 cases of carcinoma of the middle ear

目的 :提高临床对中耳癌的认识 ,做到及时诊断与治疗。方法 :2 0例均先行手术治疗 ,其中 14例采用扩大的乳突根治术 ,3例行侧颞骨切除术 ,3例行颞骨次全切除术 ;有颈淋巴结转移的 3例同时行根治性颈淋巴结廓清术。术后均辅以放疗。结果 :随访 5～ 13年 ,3、5年生存率分别为 5 5 .0 % (11/ 2 0 ) ,4 5 .0 % (9/ 2 0 )。结论 :中耳癌手术治疗应根据其侵及中耳乳突的范围 。

Objective:In order to deeply realized the cancer of middle ear, a retrospective analysis of 20 cases was done. Method:The combined treatment (operation plus radiation) were adopted for all of them.The surgical procedures included sleeve resection for 14 cases, temporal bone resection for 3 cases, subtotal temporal bone resection for 3cases. There patients with cervical metastases were treated by postoperative radiotherapy. Result:The survival rates for three years, five years, ten years were 50.0 %(11/20), 45.0 %(9/20) and 30.1 % (6/20),respectively.Conclusion:Patients of cancer middle ear located mastoid process who were treated by sleeve resection or temporal bone resection were suitable for radiation therapy and clearing the cancer and reducing infection. If the can cer exceeded mastoid process, patients must undergo subtotal temporal bone resection. However, there were dysfunction in cluded hearing, vestibular and facial nerve.