乙状窦后桥小脑角手术并发症的防治(附109例报告)  

Prevention and Treatment of Complications in Cerebellopontine Angle Surgery by Retrosigmoid Approach

作　　者：卞杰勇[1] 王中[1] 周幽心[1] 李向东[1] 崔岗[1] 张世明[1] 周岱[1] 

机构地区：[1]苏州大学附属第一医院神经外科,江苏苏州215006

出　　处：《苏州大学学报（医学版）》2007年第2期250-252,255,共4页Suzhou University Journal of Medical Science

摘　　要：目的探讨乙状窦后桥小脑角手术并发症的类型及处理方法。方法对近5年来苏州大学附属第一医院施行乙状窦后入路桥小脑角手术109例的临床资料进行回顾性分析。结果术后小脑肿胀1例经抢救无效死亡;听神经瘤手术后瘤腔再出血6例中,1例经抢救无效死亡,另外5例经急诊手术血肿清除治愈;2例听神经瘤手术后幕上硬膜外血肿经急诊血肿清除治愈;脑脊液耳鼻漏3例、脑脊液切口漏17例、颅内感染8例、复视1例、带状疱疹6例、吞咽呛咳4例均经对症处理后预后良好。结论了解手术中及手术后出现的并发症并熟悉其发生机制对预防和处理并发症是极其重要的。Objective To discuss the management of complication of cerebellopontine angle surgery by the retrosigmoid approach. Method One hundred and nine cases of cerebellopontine angle surgery by the retrosigmoid approach were analyzed retrospectively. Result Among these patients, one patient with cerebellum swelling died after operation, among 6 cases of re-bleeding in-situ after acoustic neurinoma operation one died even after re-operation. All other patients were cured. Conclusion To know the causes and mechanism of the complications during operation and post-operation is very important for prevention and management of the complications.

关 键 词：桥小脑角 手术并发症 防治 

分 类 号：R651.106[医药卫生—外科学]