临床误诊误治2016，Vol.29Issue(4)：58-61,4.DOI:10.3969/j.issn.1002-3429.2016.04.021
鼓室球体瘤12例误漏诊原因分析及治疗体会
Misdiagnosis and Missed Diagnosis Analysis and Treatment Experience in 12 Patients with Glomus Tympanicum Tumor
邵永良 1周永青 1李晓明 1李震 1苗玉花 1高春梅1
作者信息
- 1. 050082 石家庄，解放军白求恩国际和平医院耳鼻咽喉头颈外科
- 折叠
摘要
Abstract
Objective To analyze the clinical characteristics and treatment methods of glomus tympanicum tumor, in order to reduce the misdiagnosis and missed diagnosis rates. Methods Clinical data of 12 cases of glomus tympanicum tumor in my department were retrospectively analyzed. Results All the 12 cases were single ear disease, 10 cases of hearing loss, 7 cases of pulsatile tinnitus, 5 cases of ear canal mass, 4 cases of ear canal secretion, 1 case of ear canal continual bleeding. 11 cases were preoperatively misdiagnosed as middle ear cholesteatoma in 5 cases (41. 7%), external auditory canal chol-esteatoma in 2 cases (16. 7%), external auditory canal granuloma in 1 case (8. 3%), hemangioma in 1 case(8. 3%). 2 ca-ses (16. 7%) were missed diagnosis. Only 1 case was confirmed by preoperative pathological examination. The 12 patients underwent surgical treatment and postoperative pathological examination and they were diagnosed with glomus tympanicum tumor. All the patients were followed up for 1 to 3 years with no recurrent lesions. Conclusion It is difficult to differentiate glomus tympanicum tumor from middle ear inflammatory disease. Adequate imaging examination combined with pathological examination are necessary in reducing the misdiagnosis rate. Surgery is a preferred approach in treatment of glomus tympani-cum tumor with good prognosis.关键词
鼓室球瘤/误诊/中耳炎/胆脂瘤Key words
Glomus tympanicum tumor/Misdiagnosis/Otitis media/Cholesteatoma分类
医药卫生引用本文复制引用
邵永良,周永青,李晓明,李震,苗玉花,高春梅..鼓室球体瘤12例误漏诊原因分析及治疗体会[J].临床误诊误治,2016,29(4):58-61,4.
