囊性听神经瘤的研究进展  

The research progress of cystic vestibular schwannoma

作　　者：玄鹏 张新中[1] 

机构地区：[1]新乡医学院第一附属医院神经外科,河南省453100

出　　处：《中华脑科疾病与康复杂志（电子版）》2014年第1期47-49,共3页Chinese Journal of Brain Diseases and Rehabilitation（Electronic Edition）

摘　　要：目前囊性听神经瘤的治疗存在困境。单纯观察和放射治疗都不是推荐的治疗方法,至于手术治疗,由于囊性听神经瘤的蛛网膜界面保留困难使其预后较差。但是,最近的一些研究并不支持上述结论。其中有研究发现部分囊变的囊性听神经瘤带有液-液平面表明有瘤内出血。通过回顾有关囊性听神经瘤的研究进展的相关文献,探讨外科手术治疗效果,瘤周粘连及液-液平面形成的可能机制以及对外科手术治疗策略的意义。Cystic vestibular schwannoma presents a therapeutic dilemma. Observation and radiotherapy are not recommended for these tumors. As to surgery, cystic vestibular schwannoma also has worse prognosis because of the difficulty in preserving an adequate subarachnoid dissection plane. But the results of other recent studies have not supported above conclusions. Some studies found a subset of cystic vestibular schwannoma presented with fluid-fluid level, indicating intratumoral hemorrhage. Here, we reviewed the studies on cystic vestibular schwannoma and discussed its surgical outcomes and the possible mechanism of peritumoral adhesion and formation of fluid-fluid level, and its implication for surgical strategy.

关 键 词：神经瘤 听 外科手术 黏连 

分 类 号：R739.4[医药卫生—肿瘤]