听神经瘤手术的初步体会  

A case review of surgical treatment of acoustic neuroma

作　　者：王锡温[1] 孙岩[1] 王强[1] 张庆泉[1] 

机构地区：[1]青岛大学医学院附属烟台毓璜顶医院耳鼻咽喉科,山东264000

出　　处：《中华耳科学杂志》2011年第3期286-288,共3页Chinese Journal of Otology

摘　　要：目的探讨听神经瘤切除术的方法及效果。方法采用经迷路进路手术切除听神经瘤4例,经乙状窦后进路手术切除听神经瘤6例,对其临床资料进行回顾性分析。结果肿瘤全切除8例,次全切除1例,近全切除1例,面神经功能保留9例,术后短期并发症4例,无死亡病例。结论依据听力情况及肿瘤大小来决定手术进路,术中面神经监测、熟悉的解剖及良好的显微手术技巧是保证肿瘤全切、减少面神经损伤和并发症的关键。Objective To review surgical techniques and treatment results in a case series of acoustic neuroma. Methods Clinical data in 4 patients who underwent acoustic neuroma resection via the translabyrinthine approach and in another 6 patients via the retrosigmoid approach were reviewed. Results Total tumor resection was achieved in 8 cases, subtotal in lease, and near total in 1 case. The facial nerve function was preserved in 9 cases. Four patients developed short-term postoperative complications with no fatality. Conclusions The procedure approach should be based on the hearing status and tumor size. Intraoperative facial nerve monitoring, familiarity with the anatomy, and surgeon＇s microsur- gical skills are important factors affecting the rate of total tumor resection and preservation of facial nerve function, and in ensuring minimal complications.

关 键 词：听神经瘤 显微外科手术 面神经 迷路进路 乙状窦后进路 

分 类 号：R730.264[医药卫生—肿瘤] R651.11[医药卫生—临床医学]