颞骨郎格罕细胞组织细胞增生症病例分析及文献复习

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1、分类号：R762学校代码：10392学科专业代码：105112学号：1210306132福建医科大学硕士研究生毕业论文颞骨郎格罕细胞组织细胞增生症病例分析及文献复习CasesAnalysisandaReviewoftheLiteratureofLangerhansCellHistiocytosisofTemporalBone学位类型：临床医学硕士所在学院：协和临床医学院研究生：刘永龙学科、专业：耳鼻咽喉科学导师：黄建民副教授研究起止日期：2011年11月至2013年3月答辩日期：2013年06月04日二○一三年六月目

2、录中文摘要·················································································错误!未定义书签。英文摘要·········································································································5主要缩略词表··················································

3、·················································8正文···············································································································9引言·······························································································

4、··········9材料与方法·······························································································10结果········································································································14讨论······································

5、··································································17结论········································································································24参考文献·················································································

6、·······················25致谢··············································································································32综述··············································································································33参考文献····

7、····································································································41颞骨郎格罕细胞组织细胞增生症病例分析及文献复习福建医科大学附属协和医院刘永龙黄建民摘要【目的】通过对颞骨郎格罕细胞组织细胞增生症(LCH)病例的回顾性研究，探讨其发病机制及临床特点，以进一步提高对该病的临床认识水平及治疗效果。【材料与方法】2010-2011年我科收治的颞骨LCH幼儿患者2例，均以左耳流脓，耳后肿物为

8、主诉收住院。住院耳科检查：2例均见左外耳道脓性分泌物，外耳道后上壁下塌，鼓膜窥不清，耳后乳突区及颞部弥漫性隆起，表面皮肤完整。无明显面瘫。住院后均行颞骨CT薄扫+三维重建、血常规、血生化检查，但均未能取得术前病理。2例患儿住院诊断：中耳乳突肿物性质待查。2例患儿分别于2010年11月11日和2011年10月17日在全麻下行“左中耳侧颅底肿物切除