显微手术治疗大型听神经瘤(附65例报告)  

Microsurgical treatment for huge acoustic neuromas(with 65 cases report)

作　　者：孙胜玉[1] 黄伟[1] 马辉[2] 夏鹤春[2] 

机构地区：[1]宁夏医科大学,银川750004 [2]宁夏医科大学附属医院

出　　处：《山东医药》2011年第2期13-14,共2页Shandong Medical Journal

基　　金：宁夏回族自治区2008年重大科技攻关项目(2008-165-17)

摘　　要：目的观察显微手术治疗大型听神经瘤的效果。方法大型听神经瘤65例,采用经枕下乙状窦后入路显微手术切除,术中应用肌电监测判断面神经的走行及功能。结果本组肿瘤全切60例,术中保留面神经58例。结论显微手术可有效治疗大型听神经瘤;熟悉桥小脑角局部解剖、手术入路、显微手术技巧及术中面神经的电生理监测等是手术成功的关键。Objective To observe the effect of microsurgical treatment for huge acoustic neuromas. Method 65 huge acoustic neurinomas were removed through suboccipital retrosigmoid approach. The path and function of facial nerve were monitored by electromyographic monitoring . Results 60 （ 92.3% ） acoustic neurinomas were totally removed. Facial nerves were kept anatomic intact completely during the operation in 58 patients （ 89. 2% ）. Conclusions Microsurgical treatment for huge acoustic neuromas is effective. The key point for successful stagey is mastering the anatomical features of cerebellopontine angle region, microsurgieal technology and neurophysiologieal monitoring.

关 键 词：颅内肿瘤 听神经瘤 面神经 显微手术 

分 类 号：R739.41[医药卫生—肿瘤]