显微手术治疗大型听神经瘤(附19例报告)  

Microsurgical treatment of large acoustic neuroma

作　　者：张少军[1] 姜之全[1] 马骏[1] 孙辉[1] 娄飞云[1] 

机构地区：[1]蚌埠医学院附属医院神经外科,安徽蚌埠233004

出　　处：《解剖与临床》2005年第3期210-212,共3页Anatomy and Clinics

摘　　要：目的:探讨显微手术治疗大型听神经瘤操作技巧及临床疗效。方法:对19例巨大听神经瘤显微外科手术的病人作回顾性分析,17例采用单侧枕下乙状窦后入路,2例采用乙状窦前入路。结果:本组肿瘤全切15例;次全切除4例,无手术死亡病例及其它并发症;镜下肿瘤全切率78.9%,术后面瘫6例;肿瘤复发3例;其余病人恢复良好;结论:对大型听神经瘤采用不同的手术入路,应用显微外科技术,可提高肿瘤的全切率,降低死亡率和病残率,有效地保留面神经的功能。Objective：To explore the skills and effect of microsurgery in treatment of large acoustic neuroma.Methods： A relrospective analysis of 19 patients with large acoustic neuroma was performed,17 patients were treated via unilateral retrosigmoid approach and 2 via pre-sigmoid sinus approach,Results：Total resection of the tumor was achieved in 15 of the 19 case （78.9%）and subtotal in 4 cases;good outcome was achievde in 10 cases;facioplegia was observde in 6 cases and recurrent acoustic neuroma in 3 cases.Conclusion：Selection of different surgical approaches and the techniques of microsurgery can improve the rate of total tumor resection and decrease the morbidity and mortamity of patients with large acoustic neuroma.

关 键 词：听神经瘤 面神经 显微手术 

分 类 号：R739.4[医药卫生—肿瘤]