{"countAll":3802,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"2581","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"2581","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":"为您提供:胆脂瘤型中耳炎手术_胆脂瘤中耳炎治疗_中耳炎胆脂瘤怎么治疗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"胆脂瘤型中耳炎手术_胆脂瘤中耳炎治疗_中耳炎胆脂瘤怎么治疗","title":"胆脂瘤型中耳炎手术_胆脂瘤中耳炎治疗_中耳炎胆脂瘤怎么治疗","channels":null},"data":{"list":[{"id":"11366","isDel":0,"createAt":1516332645082,"createBy":"e8f7486fbba411e7a3d800163e04584d","createName":"1516932689@qq.com","updateAt":0,"updateBy":null,"updateName":null,"userId":"e8f7486fbba411e7a3d800163e04584d","title":"专家告诉您胆脂瘤性中耳炎有哪些治疗方法","content":"


\"专家告诉您胆脂瘤性中耳炎有哪些治疗方法\"


得了胆脂瘤性中耳炎不要着急，现今社会医疗这么发达，只要你及时就医，就不会有问题的。那么，我们一起了解一下胆脂瘤性中耳炎有哪些治疗方法呢？

 

1、药物治疗

　　药物治疗主要通过抗菌、排脓、止痛等方法排除毒素，目前多选用激素类或消炎药，对治疗胆脂瘤性中耳炎初期有很大帮助。

 

　　2、咽鼓管吹张法

　　咽鼓管吹张法是采用咽鼓管吹张器、捏鼻鼓气法促使咽鼓管通畅，或经导管向咽鼓管咽口吹入泼尼松龙，从而达到通畅和引流的目的；但泼尼松龙为激素类药，对人体有一定的副作用，易产生耐药性，所以要根据患者身体状况进行选择。

 

　　3、手术治疗

　　鼓膜大穿孔影响听力者，可行鼓膜修补术或鼓室成形术，但不能直接清除病灶，术后易复发。中耳积液者，可行鼓膜穿刺抽液、鼓膜切开术及 置管术，然而手术风险较大，成本高，有创口感染的可能。

 

　　找良医网温馨提示：以上是关于胆脂瘤性中耳炎的治疗方法的介绍，希望能对大家有所帮助，生病不可怕，只要我们及时发现及时治疗，选择正确的治疗方案，就能很快摆脱病魔。


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\"专家告诉你胆脂瘤型中耳炎应该做哪些检查\"


耳朵部位不舒适，像判断自己是否是胆脂瘤型中耳炎，应该做哪些检查呢？下面我们一起了解一下，希望能对大家有所帮助。

 

1、耳镜检查

　　耳镜检查是判断胆脂瘤型中耳炎的第一步。先天性胆脂瘤侵犯鼓膜前，可见鼓膜完整但常呈灰白色、并饱满感。后天性胆脂瘤多呈鼓膜松弛部穿孔或鼓膜后上方边缘性穿孔，有时伴上鼓室外侧壁或外耳道后上壁近鼓环处骨壁的破坏，穿孔边缘可有肉芽或息肉，鼓室内有角化物堆积，分泌物有恶臭。鼓膜紧张部完好无损的状况下，可以使用鼓气耳镜检查。如果鼓膜紧张部活动而外观正常，那么有可能中、下鼓室已被鼓室隔封闭而未受胆脂瘤侵及。

 

　　2、听力测验

　　听力测验是耳部检测的必要步骤之一。如果鼓膜松弛部穿孔而紧张部基本正常者，会做纯音听力测验气，若骨导差小于20dB时则提示听骨链仍完整；若气、骨导差在30dB左右，往往提示鼓膜与镫骨或前庭窗接触，自然形成鸟听骨或小鼓室作用；若气、骨导差大于50dB，表明听骨链中断。

 

　　3、影像学检查

乳突X线平片检查对较大的胆脂瘤有一定的诊断价值。高分辨率CT扫描可以显示中耳骨壁破坏的情况，骨质破坏的边缘浓密、锐利。胆脂瘤的范围以及周围组织受侵犯的情况均能清晰显示，特别是较小的上鼓室胆脂瘤对上鼓室外侧壁的轻微破坏采用冠状位扫描，能早期发现。

 

找良医网温馨提示：如果出现耳部听力差等症状持续时间过长，请及时到医院做相关检查，及早发现问题及早治疗，让您有一个健康的身体。


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\"胆脂瘤型中耳炎的疾病和治疗\"

1．治疗时机和治疗方法：胆脂瘤型中耳炎一经确诊，就应尽早手术治疗，以避免发生并发症。目前尚缺少有效的药物治疗。

2．手术治疗的目的：最基本的目的，也是最重要的目的，就是尽量彻底清除病灶，解除胆脂瘤对身体健康的危险，停止流脓，保持耳内干燥；如果医生技术水平和设备条件许可，则应达到更高的要求，就是尽可以保留或修复听力。作为病人，应尽可能到条件好的医院找水平高的医生为自己手术。

    3．手术方式的选择：高水平的医生，肯定会尽量选择改良乳突根治术，以便彻底清除病灶和听力重建，病变严重者则进行乳突根治术，并在此基础上植入人工听小骨、修复鼓膜。争取一次完成，如果病变很重，也可以在一年后施行二期手术重建听力。


","barId":"2581","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":830,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1508833736344,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1508833736344,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"db869ccaaef711e7a3d800163e04584d","isDel":0,"createAt":1507776522121,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"海绵宝宝","password":"hgs1990623110","level":0,"nickName":"张宝宝","realName":null,"signName":"找良医网","head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":"573253266@qq.com","address":null,"identityType":5,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":2,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"6300","isDel":0,"createAt":1508833393291,"createBy":"db869ccaaef711e7a3d800163e04584d","createName":"海绵宝宝","updateAt":0,"updateBy":null,"updateName":null,"userId":"db869ccaaef711e7a3d800163e04584d","title":"什么是胆脂瘤型中耳炎","content":"

\"什么是胆脂瘤型中耳炎\"

 什么是胆脂瘤型中耳炎

简单地说，胆脂瘤型中耳炎是慢性化脓性中耳炎的一种常见类型。众所周知，慢性化脓性中耳炎可分为三种类型：单纯型、骨疡型、胆脂瘤型，其中以胆脂瘤型的后果最为严重。中耳胆脂瘤是中耳内部结构脱落上皮长期堆积形成的，属于炎症性病变，并非真正的肿瘤，其组织结构为囊性，囊的内壁是复层鳞状上皮，囊内充满脱落上皮、角化物质及胆固醇结晶，囊外侧以一层厚薄不一的纤维组织与其邻近的骨壁或组织紧密相连。因其囊内含有胆固醇结晶，故医学上称之为胆脂瘤。但胆脂瘤一旦形成，就会越长越大，并且持续不断地向四周扩张，从而造成邻近骨质破坏，引起严重并发症，如鼓膜穿孔、听小骨破坏、化脓性迷路炎、耳聋和面神经麻痹等，严重者可引起化脓性脑膜炎甚至脑脓肿等危及生命的并发症。所以，一经诊断是胆脂瘤性中耳炎，就必须进行手术治疗。二、症状1.耳流脓：可长期流脓，早期也可能为间断性，但一般为持续性，脓液有特殊恶臭味。2．听力下降：可表现为不同程度的传导性聋，其原因主要是鼓膜穿孔和听骨链损坏，久之可因损害内耳导致混合性聋。3．其他：可因胆脂瘤对周围结构破坏范围和程度的不同，引起不同的并发症，如耳鸣、眩晕，面瘫、耳后脓肿和瘘管、化脓性脑膜炎和脑脓肿、乙状窦血栓形成等。三、诊断1.病史：上述病史是医生诊断的重要依据。2.耳专科检查：包括耳镜检查和听功能检查等，可见鼓膜松弛部或紧张部后上方有边缘性穿孔；有时可在鼓膜穿孔处见到鼓室内有灰白色鳞屑状或豆渣样物质，闻之有奇臭。一般有较重传导性聋，如病变波及耳蜗，耳聋呈混合性。3．影像学检查：乳突CT检查是必须的，可以明确中耳病变范围，是否存在骨质破坏，不但是诊断本病的必不可少的重要依据，更为制定手术方案和提高手术安全性提供重要信息。四、治疗原则1．治疗时机和治疗方法：胆脂瘤型中耳炎一经确诊，就应尽早手术治疗，以避免发生并发症。目前尚缺少有效的药物治疗。2．手术治疗的目的：最基本的目的，也是最重要的目的，就是尽量彻底清除病灶，解除胆脂瘤对身体健康的危险，停止流脓，保持耳内干燥；如果医生技术水平和设备条件许可，则应达到更高的要求，就是尽可以保留或修复听力。作为病人，应尽可能到条件好的医院找水平高的医生为自己手术。3．手术方式的选择：高水平的医生，肯定会尽量选择改良乳突根治术，以便彻底清除病灶和听力重建，病变严重者则进行乳突根治术，并在此基础上植入人工听小骨、修复鼓膜。争取一次完成，如果病变很重，也可以在一年后施行二期手术重建听力。五、误区1．“我只是一般的中耳炎，不是胆脂瘤型中耳炎。”此类患者所指的“一般的中耳炎”，就是单纯型慢性化脓性中耳炎，不会引起严重并发症。对于中耳炎类型的确诊，应有经验比较丰富的耳科医生来完成，诊断依据应包括病史、耳专科检查和乳突CT检查等。不少病人因为没有及时做CT检查，而延误的诊断和治疗。2．“胆脂瘤型中耳炎也是一种严重的肿瘤。”有这种想法者，心里很害怕，担心治不好，或者因治疗经费不足，而不愿到医院就诊。3．“胆脂瘤型中耳炎不必急着治疗。”实际上，作为医生，常把中耳内胆脂瘤“定时炸弹”，如果不及时治疗，则有可能会发生“爆炸”，导致严重并发症。因此，一旦确诊患有胆脂瘤型中耳炎，都必须尽快治疗。4．“胆脂瘤型中耳炎可以用药物治好。”目前尚缺少有效的药物来治疗本病。5．“只要是大医院的耳鼻喉科医生，都能做好胆脂瘤型中耳炎手术。”有这种认识的病人不在少数。实际上，做做好这类手术，对医生的技术水平和设备条件要求都很高。对医生技术水平的要求，不但应有名师指导和正规的专业训练，而且应有长期的经验积累；设备方面，应有配套的耳科手术显微镜、耳科电钻（动力系统）和耳显微手术专用器械等。

因此，找良医网提醒您，应慎重选择正规医院和医生。


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大家都听说过中耳炎，但未必听说过胆脂瘤型中耳炎。这是中耳炎之中的一种，但它是中耳炎中最严重的一种，严重者就会威胁到生命安全。那么，对于我们来说，能够了解一些胆脂瘤型中耳炎的一些情况，对于做好预防工作有很大的帮助。

\"胆脂瘤型中耳炎症状\"


　　首先我们来看看中耳炎的分类，单纯型、骨疡型和胆脂瘤型是最为主要的三种。所谓胆脂瘤，就是中耳里脱落的上皮的堆集，越聚越大，不断地向四周扩张，从而造成邻近的骨质破坏，向上，向内向后都是重要的血管和神经，一旦破坏到神经会造成面神经麻痹，向颅内扩张会形成脑脓肿等危及生命的并发症，我们来看看它的症状。首先，耳流脓。中耳炎恶化为胆脂瘤中耳炎时，会长期流脓不愈，呈豆渣样或鳞屑样物，并有恶臭味。其次，听力下降。中耳脱落的上皮堆积像的胆脂瘤会压迫中耳传音结构的破坏，引起传导性聋。

 

　　第三个方面就是会造成面瘫。不断扩大的胆脂瘤会侵蚀面部神经骨管，压迫面部神经，造成面部神经功能障碍，出现眼睛闭不上、嘴歪等现象。最后，颅内并发症。发生严重的颅内并发症，如硬脑膜脓肿、乙状窦血栓性静脉炎、化脓性脑膜炎及脑脓肿等，不及时处理将危及生命。

 

上面找良医网专家已经介绍了胆脂瘤型中耳炎的一些症状和情况，希望读者能够做个详细了解，以便不时之需。另外，对于疾病，最重要的就是要做好预防工作，多了解病情，对于预防很有帮助。


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