【摘要】 目的 :探讨颞骨恶性肿瘤的临床诊断和治疗。方法 :回顾性分析我科 1989年 1月～ 2 0 0 1年 12月间收治的15例颞骨恶性肿瘤患者的临床资料。结果 :6 6 7%的颞骨恶性肿瘤患者有慢性中耳炎病史 ;根据其不同的临床分期采用单纯手术、手术加术后放疗的治疗方法 ,用生命表法计算 ,总的 5年生存率为 4 4 5 %。Ⅰ组、Ⅱ组、Ⅲ组和Ⅳ组的 5年生存率分别为 10 0 %、6 6 7%、33 33%和 2 5 7%。 1例胚胎性横纹肌肉瘤和 1例成骨肉瘤术后 1年内死亡。结论 :颞骨恶性肿瘤的早期诊断可以提高疗效 ;对颞骨恶性肿瘤的病因、临床分期及治疗等还有待进一步的探讨。更多还原

【Abstract】 Objective:To sum up the experiences in the clinical diagnosis and therapy of temporal bone malignancy. Methods:Retrospectively analyzed the 15 patients with temporal bone malignancy.Results:66.7% of these patients had the history of chronic suppurative otitis media. They were treated with surgery or surgery in combination with radiation therapy. The 5-year survival rate of the total cases was 44.5%. The 5-year survival rate of group I was 100%, 66.7% of group Ⅱ, 33.3% of group Ⅲ, 25.7% of group Ⅳ respectively. An embryo rhabdomyosarcoma and an osteogenic sarcoma died within a year after operation.Conclusion:The early diagnosis of temporal bone malignancy improves the efficacy of therapy. The etiology, clinical staging system and treatment of temporal bone malignancy await further studies.更多还原