兰州大学学报（医学版）
蘭州大學學報（醫學版）
란주대학학보（의학판）
JOURNAL OF LANZHOU UNIVERSITY(MEDICAL SCIENCES)
2009年
2期
94-96
,共3页
听神经鞘瘤%显微手术%枕下-乙状窦后入路%面神经保留
聽神經鞘瘤%顯微手術%枕下-乙狀竇後入路%麵神經保留
은신경초류%현미수술%침하-을상두후입로%면신경보류
acoustic neurilemoma%micrurgy%suboccipital-retrosigmoid approach%facial nerve reservations
目的 总结应用显微外科技术切除大中型听神经鞘瘤的治疗效果及手术体会,探讨如何全切听神经鞘瘤并妥善保护面神经,减少术后并发症.方法 30例大中型听神经鞘瘤均采用枕下-乙状窦后入路,显微外科切除肿瘤,严密缝合硬脑膜,骨瓣复位.结果 26例肿瘤全切除,3例肿瘤近全切除,1例肿瘤大部切除,保留面神经解剖23例.结论 通过枕下-乙状窦后入路,利用显微外科技术,可以达到全切肿瘤、保留面神经解剖和功能之目的 ;缝合硬脑膜及骨瓣复位可明显减少术后脑脊液漏及皮下积液等并发症.
目的 總結應用顯微外科技術切除大中型聽神經鞘瘤的治療效果及手術體會,探討如何全切聽神經鞘瘤併妥善保護麵神經,減少術後併髮癥.方法 30例大中型聽神經鞘瘤均採用枕下-乙狀竇後入路,顯微外科切除腫瘤,嚴密縫閤硬腦膜,骨瓣複位.結果 26例腫瘤全切除,3例腫瘤近全切除,1例腫瘤大部切除,保留麵神經解剖23例.結論 通過枕下-乙狀竇後入路,利用顯微外科技術,可以達到全切腫瘤、保留麵神經解剖和功能之目的 ;縫閤硬腦膜及骨瓣複位可明顯減少術後腦脊液漏及皮下積液等併髮癥.
목적 총결응용현미외과기술절제대중형은신경초류적치료효과급수술체회,탐토여하전절은신경초류병타선보호면신경,감소술후병발증.방법 30례대중형은신경초류균채용침하-을상두후입로,현미외과절제종류,엄밀봉합경뇌막,골판복위.결과 26례종류전절제,3례종류근전절제,1례종류대부절제,보류면신경해부23례.결론 통과침하-을상두후입로,이용현미외과기술,가이체도전절종류、보류면신경해부화공능지목적 ;봉합경뇌막급골판복위가명현감소술후뇌척액루급피하적액등병발증.
Objective To summarize the experiences of micrurgy in the treatment of large and medium acoustic neurilemoma. Methods 30 patients with acoustic neurilemoma underwent microsurgical resection through suboccipital-retrosigmoid approach,the cerebral dura mater was accurately closed,and the bone flap was reset. Results Out of 30 cases,26 were totally resected, 3 subtotally resected and 1 with greater part resected. Facial nerve was kept anatomic intact in 23 patients. Conclusion Through suboccipital-retrosigmoid approach,micrurgy can resect acoustic neurilemoma,and keep the anatomy and function of facial nerve. Accurate closure of the cerebral dura mater and reset of the bone flap can significantly reduce the leakage of cerebrospinal fluid,subcutaneous fluidify and other complications.
