中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
12期
49-51
,共3页
听神经瘤%显微外科
聽神經瘤%顯微外科
은신경류%현미외과
Acoustic neuromas%Microsurgery
目的 探讨大型听神经瘤的临床特点及显微手术治疗.方法 对2006年2月至2010年2月南阳医学高等专科学校第一附属医院收治的32例大型听神经瘤患者的临床资料及术后随访结果进行回顾性分析.结果 32例中肿瘤全切29例(90.6％),次全切3例(9.4％),面神经解剖保留27例(84.3％),未能保留5例(15.7％).术后颅内血肿1例(3.1％),后组颅神经损伤1例(3.1％),无死亡病例.随访1～4.5年,面神经功能状态:House-Brackman分级Ⅰ、Ⅱ二级17例(53.1％)；Ⅲ、Ⅳ级11例(34.4％)；Ⅴ、Ⅵ级4例(12.5％).结论 扎实的解剖知识,熟练的显微手术技巧,能够提高大型听神经瘤的治疗效果.
目的 探討大型聽神經瘤的臨床特點及顯微手術治療.方法 對2006年2月至2010年2月南暘醫學高等專科學校第一附屬醫院收治的32例大型聽神經瘤患者的臨床資料及術後隨訪結果進行迴顧性分析.結果 32例中腫瘤全切29例(90.6％),次全切3例(9.4％),麵神經解剖保留27例(84.3％),未能保留5例(15.7％).術後顱內血腫1例(3.1％),後組顱神經損傷1例(3.1％),無死亡病例.隨訪1～4.5年,麵神經功能狀態:House-Brackman分級Ⅰ、Ⅱ二級17例(53.1％)；Ⅲ、Ⅳ級11例(34.4％)；Ⅴ、Ⅵ級4例(12.5％).結論 扎實的解剖知識,熟練的顯微手術技巧,能夠提高大型聽神經瘤的治療效果.
목적 탐토대형은신경류적림상특점급현미수술치료.방법 대2006년2월지2010년2월남양의학고등전과학교제일부속의원수치적32례대형은신경류환자적림상자료급술후수방결과진행회고성분석.결과 32례중종류전절29례(90.6％),차전절3례(9.4％),면신경해부보류27례(84.3％),미능보류5례(15.7％).술후로내혈종1례(3.1％),후조로신경손상1례(3.1％),무사망병례.수방1～4.5년,면신경공능상태:House-Brackman분급Ⅰ、Ⅱ이급17례(53.1％)；Ⅲ、Ⅳ급11례(34.4％)；Ⅴ、Ⅵ급4례(12.5％).결론 찰실적해부지식,숙련적현미수술기교,능구제고대형은신경류적치료효과.
Objective To investigate the clinical features and microsurgical treatment of large acoustic neuromas.Methods The clinical data of 32 patients with large acoustic neuromas,who were treated by microsurgical from February 2006 to Februaty 2010,were analyzed retrospectively.Results Total tumor resection were achieved in 29 of the 32 cases (90.6％ ),subtotal resection in 3 cases (9.4％ ).Anatomic preservation of facial nerve were achieved in 27 cases (84.3％ ),and failed to retain in 5 cases ( 15.7％ ).The following up from 1 to 4 years showed that the function of the facial nerves:House-Brackman grade Ⅰ-Ⅱ in 17 cases (53.1％),grade Ⅲ-Ⅳ in 11 cases (34.4％) and grade Ⅴ-Ⅵ in 4 cases ( 12.5％ ).Conclusions Solid knowledge of anatomy and competent microsurgical skills may improve treatment of large acoustic neuromas.
