摘要
为增强耳鼻咽喉科医生对耳颞部组织细胞增生症X(HX)的认识,以提高本病的诊疗水平,回顾30年来经病理证实收治的21例HX,进行远期疗效观察分析。采用手术、放射治疗及药物综合治疗,随访3~30年,存活18例(85%),其中后遗尿崩症、侏儒症6例(28%);死亡3例(14%)。本病临床分型应视病变范围而定;治疗应采用手术、放射治疗及药物综合疗法;化学治疗适用于播散型病例;
HistiocytosisX(HX)isararedisease.Therearemanyquestionsanddebatesinitsetiology,pathology,clinicaltypeandtherapy.ToenhancetherecognitionofotolaryngologistsinHXoftheearandtemporalboneandthelevelofdiagnosisandtherapy,30years′resultsof21patientswithHXoftheearandtemporalboneprovedbyhistiopathologywerereviewed.18patientswerecured(85%),6caseswereresidualofdiabeteinsipidusanddwarfism(28%),3casesdied(14%).Theclinicalclassificationsystemshouldbebasedontheextentionofdiseases.Surgicalcurettage,ra-diationtherapyaremainstaysoftreatment;chemotherapyshouldbeusedinpatientswithaggressiveanddisseminatediseasesandetiologyofhistiocytosisshouldbestudiedonimmunesystemthatpoten-tialyaidintherapy.
出处
《中华耳鼻咽喉科杂志》
CSCD
1996年第6期351-354,共4页
Chinese Journal of Otorhinolaryngology
关键词
组织细胞增生症
综合疗法
HX
病例报告
TemporalboneHistiocytosisCombinedmodalitytherapyLangerhanscels