青年高血供听神经瘤手术技巧的探讨  

Analysis of surgical skills for hypervascular acoustic neuroma in young adults

作　　者：张明山[1] 张宏伟[1] 谷春雨[1] 王浩然[1] 曲彦明[1] 任铭[1] 于春江[1] 

机构地区：[1]首都医科大学三博脑科医院神经外科,北京100093

出　　处：《中国微侵袭神经外科杂志》2016年第2期57-59,共3页Chinese Journal of Minimally Invasive Neurosurgery

摘　　要：目的探讨青年高血供听神经瘤的手术技巧。方法回顾性分析手术治疗的20例青年高血供听神经瘤病例的影像学特点及手术技巧。术前面神经功能House-Brackmann分级,Ⅰ级18例,Ⅱ级2例。肿瘤均行一期手术切除。结果肿瘤全切除13例,近全切除7例,切除肿瘤过程中平均失血约1200 ml,术后面神经功能House-Brackmann分级,Ⅰ～Ⅱ级8例,Ⅲ～Ⅵ级12例,其中3例面神经未能达到解剖保留,术后行面神经修复术。结论青年高血供听神经瘤术中出血多,术后面神经功能保留率较低,掌握手术操作技巧可一期完成肿瘤切除。Objective To explore the surgical skills for hypervascular acoustic neuroma in young adults. Methods The imaging data of20 young patients and surgical skills for their hypervascular acoustic neuroma were analyzed retrospectively. Pre-operation facial nerve function was House-Brackmann GradeⅠin 18 cases and Grade Ⅱin 2. All the tumors were removed by performing one stage surgery.Results Tumors were totally removed in 13 cases and sub-totally in 7. During the operation, the average blood loss was 1200 ml.Post-operation facial nerve function was House-Brackmann Grade Ⅰ- Ⅱ in 8 cases and Grade Ⅲ- Ⅵ in 12. Facial never repair was performed in 3 cases because anatomic integrity was not achieved. Conclusions There is more blood loss in young adults with hypervascular acoustic neuroma during surgery and facial nerve function preservation rate is lower. Tumor can be removed in one-stage surgery with proper skills.

关 键 词：神经瘤 听 青年 高血供 

分 类 号：R739.4[医药卫生—肿瘤]