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目的探讨颈静脉鼓室球瘤的诊断与显微手术治疗经验。方法对10例手术和病理证实为颈静脉鼓室球瘤的临床资料进行分析。结果鼓室球瘤6例,颈静脉球瘤4例;男2例,女8例;平均年龄36岁(19～60岁);以搏动性耳鸣和听力下降为主要症状,其他症状包括耳道流血、面瘫、耳痛。按Fisch分类,A型4耳,B型2耳,C型3耳,D_1型1耳。全部病例经显微镜下手术。6例鼓室球瘤肿瘤均全切除;4例颈静脉球瘤中,3例全切除,1例次全切除术后随访1～11年,6例完整切除的鼓室球瘤均无复发,3例完整切除的颈静脉球瘤无复发。结论颈静脉鼓室球瘤诊治较为困难,治疗上首选手术,显微手术有利于肿瘤周围血管、神经的处理和有利于肿瘤的完整切除。
Objective To investigate the diagnosis and treatment of jugular bulbomas in the jugular vein. Methods The clinical data of 10 cases with jugular bulbous tympanoma confirmed by operation and pathology were analyzed. Results There were 6 cases of tympanoma and 4 cases of jugular vein tumor. There were 2 males and 8 females with a mean age of 36 years (19 ~ 60 years). Pulmonary tinnitus and hearing loss were the main symptoms. Other symptoms included bleeding of the ear canal , Facial paralysis, earache. According to Fisch classification, A type 4 ears, B type 2 ears, C type 3 ears, D_1 type 1 ears. All cases underwent microscopic surgery. 6 cases of tympanoma tumor were resected; 4 cases of jugular bulboma, 3 cases of total resection, 1 case of subtotal resection were followed up for 1 to 11 years, 6 cases of complete resection of the tympanosoma had no recurrence, 3 cases Complete resection of the jugular bulb tumor without recurrence. Conclusion The diagnosis and treatment of jugular bulbomas in the jugular vein is more difficult. For the first choice of surgery, microsurgery is beneficial to the treatment of the vessels and nerves around the tumor and the complete resection of the tumor.