CAJ | 학술논문

目的探讨应用显微手术切除大型桥小脑角肿瘤的临床疗效与并发症.方法采用显微手术技巧切除大型桥小脑角肿瘤22例(其中听神经瘤11例,脑膜瘤8例,三叉神经瘤2例,胆脂瘤1例),并就临床结果进行分析.结果 11例听神经瘤全切8例,次全切3例;8例脑膜瘤全切5例,次全切2例,部分切除1例;2例三叉神经瘤均次全切除;1例胆脂瘤全切.术后脑出血再次手术后死亡1例.结论大型桥小脑角肿瘤手术具挑战性,良好的显微手术技巧能提高全切率、减少并发症.
목적 탐토응용현미수술절제대형교소뇌각종류적림상료효여병발증.방법 채용현미수술기교절제대형교소뇌각종류22례(기중은신경류11례,뇌막류8례,삼차신경류2례,담지류1례),병취림상결과진행분석.결과 11례은신경류전절8례,차전절3례;8례뇌막류전절5례,차전절2례,부분절제1례;2례삼차신경류균차전절제;1례담지류전절.술후뇌출혈재차수술후사망1례.결론 대형교소뇌각종류수술구도전성,량호적현미수술기교능제고전절솔、감소병발증.
Objective To discuss the clinical effectiveness and complications of microsurgical resection of cerebellopontine angle tumor. Methods We applied microsurgical operations to 22 largc cerebellopontine angle tumors (include 11 acoustic neurinomas ,8 meningiomas ,2 trigeminal tumors and 1 cholesteatoma)and analyzed t0he clinical results. Results 8 cases received total resection and 3 cases received subtotal resection within the 11 acoustic neurinomas. 5 cases received total resection,2 cases received subtotal resection and 1 case received partial resection within the 8 meningiomas. Both of the 2 trigeminal tumors received subtotal resection.1 cerebral hemorrhage dead after re-operation. Conclusion Microsurgical operation of large cerebellopontine angle tumor is challenging. Professional microsurgical techniques can improve total resection ratio and reduce the incidence of complications.