听神经瘤显微手术切除21例  

Microsurgical removal of acoustic neuroma in 21 cases

作　　者：牛志强[1] 王志斌[1] 邢云飞[1] 杨海军[1] 周福有[1] 

机构地区：[1]河南科技大学第四附属医院安阳市肿瘤医院肿瘤外科,安阳455000

出　　处：《临床医学》2017年第7期25-27,共3页Clinical Medicine

摘　　要：目的探讨听神经瘤显微切除的手术技巧及临床疗效。方法回顾性分析2013年9月至2016年8月显微手术切除的21例听神经瘤患者的临床资料,其中肿瘤长径≤3 cm 5例,3~4 cm 8例,≥4 cm 8例。结果肿瘤全切除17例,次全切除4例,本组无死亡病例;面神经解剖保留16例,保留率为76.2%。结论枕下乙状窦后开颅显微手术切除是常用的手术方式;随着术者手术经验的提高,面神经保留率会明显提高。Objective To investigate the surgical technique and clinical effect of microsurgical resection of acoustic neuroma. Methods The clinical data of 21 patients with acoustic neuroma underwent microsurgical excision from September 2013 to August 2016 were retrospective analysis. Among them, the tumor diameter less than 3 cm in 5 cases, 3 -4 and em in 8 cases, larger than 4 cm in 8 cases. Results Total resection was achieved in 17 cases and subtotal resection in 4 eases, there was no death. There were 16 cases with facial nerve preservation, and the reserved rate was 76.2%. Conclusion Posterior occipital sinus microsurgical excision is the most common surgical method. And with the improvement of operative experience, the retention rate of facial nerve will be increased obviously.

关 键 词：听神经瘤 显微手术 面神经 

分 类 号：R739.4[医药卫生—肿瘤]