【摘要】目的 探讨外耳道胆脂瘤的手术治疗方法。方法 回顾性分析经临床和病理确诊的35例外耳道胆脂瘤的临床诊治情况。局限于外耳道的外耳道胆脂瘤20例(I型)，行外耳道胆脂瘤清除术；侵及中耳的外耳道胆脂瘤15例(II型)，行乳突根治术及鼓室成形术。所有病例随访3个月~3年。结果 单纯外耳道胆脂瘤患者，术后无复发；侵及中耳及乳突的外耳道胆脂瘤，手术成功率为86.7%(13/15)。结论 外耳道胆脂瘤根据侵及范围，采用不同手术方法治疗，疗效满意。

    【关键词】外耳道胆脂瘤；乳突根治术；外耳道成形术

    Discussion and Clinical Treatment of External Auditory Canal Cholesteatoma.FAN Xiang-min.(Chengwu County People’s Hospital,Chengwu 274200，China)

    【Abstract】Objective To explore the therapy of external auditory cholesteatoma.Methods A retrospective study was carried out among 35 cases with this lesion treated in our hospita1.All the cases were diagnosed on the basis of pathological determination. Among the cases,20cases limited in external auditory canal were treated with focus clearance; 15 cases invading to middle ear, were treated with mastoidotympanectomy and tympanoplasty; ......