颈静脉孔区神经鞘瘤合并右侧声带麻痹围手术期管理1例  

Perioperative management of jugular foramen schwannoma combined with right vocal cord paralysis:case report

作　　者：徐子清 常馨宁 钱爽 余喜亚 Xu Ziqing;Chang Xinning;Qian Shuang;Yu Xiya(Faculty of Anesthesiology,Changhai Hospital,Naval Military Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学附属长海医院麻醉学部,上海200433

出　　处：《国际麻醉学与复苏杂志》2022年第10期1059-1062,共4页International Journal of Anesthesiology and Resuscitation

摘　　要：颈静脉孔区神经鞘瘤是最复杂的颅底肿瘤之一,发病率低,肿瘤组织常与神经、血管广泛紧密粘连。此类肿瘤患者术前常合并后组脑神经损伤,手术创伤大、时间长,术中需全面的神经功能电生理监测,围手术期管理复杂。海军军医大学附属长海医院近日完成了1例在全麻下行右侧颈静脉孔区神经鞘瘤切除+颅骨修补术。现整理此病例围手术期管理体会,以期为该类患者围手术期管理提供参考。Jugular foramen schwannoma,as one of the most complex basicranial tumors,has the characteristics of low incidence rate,as well as wide and close connections with nerves and blood vessels.The patients with the tumor often suffer from posterior cranial nerve injury at the same time before the operation,and this traumatic surgery often takes a long time.Therefore,it needs comprehensive electrophysiological monitoring of nerve function during operation,and complex perioperative management.Recently,Changhai Hospital Affiliated with Naval Medical University successfully completed a case of neurilemmoma resection and cranioplasty in the right jugular foramen area under general anesthesia.The following report is a detailed perioperative management experience.This case report summarized the experience of this case for providing a reference for the surgical management of such kinds of patients.

关 键 词：颈静脉孔 神经鞘瘤 声带麻痹 围手术期 

分 类 号：R614[医药卫生—麻醉学] R739.41[医药卫生—外科学]