经枕下乙状窦后入路单独内镜手术切除听神经鞘瘤(附10例报告)  

Endoscopic surgery through suboccipipto-retrosigmoidal approach for acoustic neurinomas(report of 10 cases)

作　　者：朱兴宝[1] 罗俊力[1] 刘云[1] 刘松[1] 李敏[1] 杨云华[1] 李栋平[1] 王典春[1] 

机构地区：[1]成都军区昆明总医院神经外科,昆明650032

出　　处：《中国临床神经外科杂志》2012年第7期401-404,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：目的总结经枕下乙状窦后入路单独内镜手术切除听神经鞘瘤的经验。方法回顾性分析10例听神经瘤患者的临床资料,均在内窥镜视屏图像引导下经枕下乙状窦后入路手术切除肿瘤。结果术后MRI显示肿瘤完全切除5例、次全切除3例、大部切除2例。术后随访6个月,发生单侧轻微面瘫2例、单侧面部麻木1例。结论采用经枕下乙状窦后入路单独内窥镜手术切除听神经鞘瘤具有微创、简便、舒适和疗效好等优点。Objective To summarize the experience in treating acoustic neurinomas by endoscopic surgery through suboccipipto-retrosigmoidal approach. Methods Ten＇patients with acoustic neurinomas were treated only by endoscopic surgery through suboccipipto-retrosigmoidal approach. All the patients were followed up 6 months after the surgery. Results Of 10 patients with acoustic neurinomas, 5 underwent total resection of the tumors, 3 subtotal and 2 greatly part. The following up showed that there was mild face palsy in 2 patients and there was face numbness in 1 patient. Conclusions The endoscopic surgery through Suboccipipto-retrosigmoidal approach for acoustic neurinomas is simple and minimally invasive, and its effect on the acoustic neurinomas is good.

关 键 词：听神经鞘瘤 枕下乙状窦后入路 神经内镜手术 疗效 

分 类 号：R739.41[医药卫生—肿瘤] R651.11[医药卫生—临床医学]