听神经瘤手术后听力保留的影响因素  

Factors of hearing preservation in acoustic neuroma surgery

作　　者：谭皓月 汪照炎[2,3] 吴皓[2,3] 

机构地区：[1]上海交通大学医学院附属新华医院耳鼻咽喉头颈外科,200092 [2]上海交通大学耳科学研究所 上海市耳鼻疾病转化医学重点实验室,200092 [3]上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科,200011

出　　处：《中华耳鼻咽喉头颈外科杂志》2017年第10期783-786,共4页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

基　　金：国家自然科学基金（81371086,81570906,81670919）

摘　　要：在过去50年中，听神经瘤手术的重点已从保全生命转移至神经功能保留，其中听力保留是继肿瘤切除和面神经功能保留后又一重点。近来文献报道的听神经瘤术后听力保留率为2%～93%。诸如手术径路、术前神经功能、肿瘤大小、肿瘤来源、内听道底脑脊液充盈等可能都是影响术后听力保留的重要因素。本文总结近年来该领域重要文献的研究结果，探讨听神经瘤手术后听力保留的影响因素。Over the past 50 years, the focus of acoustic neuroma surgery has shifted from low mortality and tumor resection to retention of neurological function. Hearing preservation is another point in addition to facial nerve function preservation. Hearing preservation rates overall ranged from 2% to 93% in recent studies. Characteristics such as approach, pre-operative neurological function, tumor size, nerve of origin and fundal fluid of the internal auditory canal have been reported as possible influencing factors. This review provides a summary of recent studies and describes the prognostic factors that predict hearing preservation.

关 键 词：神经瘤 听 听力 耳外科手术 

分 类 号：R739.4[医药卫生—肿瘤]