前庭神经鞘瘤三种不同手术入路的听力保留效果分析  

Hearing Preservation Outcomes in Vestibular Schwannoma Resection via Different Surgical Approaches

作　　者：赵润生 李子博 樊开宇 樊锐 万伟庆[1] ZHAO Runsheng;LI Zibo;FAN Kaiyu;FAN Rui;WAN Weiqing(Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京天坛医院神经外科,北京100050

出　　处：《中华耳科学杂志》2024年第6期1034-1037,共4页Chinese Journal of Otology

基　　金：国家重点研发计划项目(2022YFB3204304)。

摘　　要：随着显微神经外科技术的发展,前庭神经鞘瘤治疗目标由最初的生命保全转变为神经功能保留。继面神经成功保留后,保留听力(保听)成为新的目标。为实现这一目标,有多种治疗方案可供选择,但手术治疗仍然是当前最根本的治疗方式。保听手术入路包括乙状窦后入路、中颅窝入路和迷路后入路3种,每种入路都有其适用条件与优势,这些手术入路在近年得到广泛的拓展与进步。我们在了解前庭神经鞘瘤听力变化过程与治疗方案的基础上,比较了3种不同手术入路的保听效果。With the advancement of microsurgical techniques,the objective of vestibular schwannoma treatment has evolved from prioritizing saving life to preserving neurological functions.After successful preservation of the facial nerve,hearing preservation has emerged as a new goal.Various treatment options are available to achieve this objective,with surgical treatment remaining the primary approach.Surgical approaches for hearing preservation include the retrosigmoid,middle cranial fossa and retrolabyrinthine approaches,each with its specific indications and advantages.These surgical approaches have seen significant modifications and improvement in recent years.This study compares hearing preservation outcomes in relation to these three surgical approaches based on the understanding of auditory changes in vestibular schwannoma and its treatment options.

关 键 词：前庭神经鞘瘤 保留听力手术 乙状窦后入路 中颅窝入路 迷路后入路 

分 类 号：R739.43[医药卫生—肿瘤]