中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2012年
7期
674-677
,共4页
黄冠又%张俊廷%吴震%郝淑煜%张力伟%贾桂军%关树森
黃冠又%張俊廷%吳震%郝淑煜%張力偉%賈桂軍%關樹森
황관우%장준정%오진%학숙욱%장력위%가계군%관수삼
小脑脑桥角%脑膜瘤%面神经%耳蜗神经%枕下乙状窦后入路%显微外科手术
小腦腦橋角%腦膜瘤%麵神經%耳蝸神經%枕下乙狀竇後入路%顯微外科手術
소뇌뇌교각%뇌막류%면신경%이와신경%침하을상두후입로%현미외과수술
Cerebellopontine angle%Meningiomas%Facial nerve%Auditory nerve%Suboccipital retrosigmoid approach%Microsurgery
目的 探讨小脑脑桥角脑膜瘤的临床分型、显微外科手术切除方法与面听神经保护.方法 回顾分析经显微外科手术治疗的106例小脑脑桥角脑膜瘤,均采用枕下乙状窦后入路.结果 肿瘤全切除89例(84.0％),近全切除15例(14.2％),部分切除2例(1.9％),死亡1例.面神经解剖保留101例(95.3％),听神经解剖保留75例(70.8％).面神经功能(House-Brackmann Ⅰ级、Ⅱ级)保留73例(68.9％),听力保留率为72.3％ (47/65).结论 对小脑脑桥角脑膜瘤进行临床分型,选择合适的手术入路以及术中一定的手术技巧,能够提高面听神经功能保留.
目的 探討小腦腦橋角腦膜瘤的臨床分型、顯微外科手術切除方法與麵聽神經保護.方法 迴顧分析經顯微外科手術治療的106例小腦腦橋角腦膜瘤,均採用枕下乙狀竇後入路.結果 腫瘤全切除89例(84.0％),近全切除15例(14.2％),部分切除2例(1.9％),死亡1例.麵神經解剖保留101例(95.3％),聽神經解剖保留75例(70.8％).麵神經功能(House-Brackmann Ⅰ級、Ⅱ級)保留73例(68.9％),聽力保留率為72.3％ (47/65).結論 對小腦腦橋角腦膜瘤進行臨床分型,選擇閤適的手術入路以及術中一定的手術技巧,能夠提高麵聽神經功能保留.
목적 탐토소뇌뇌교각뇌막류적림상분형、현미외과수술절제방법여면은신경보호.방법 회고분석경현미외과수술치료적106례소뇌뇌교각뇌막류,균채용침하을상두후입로.결과 종류전절제89례(84.0％),근전절제15례(14.2％),부분절제2례(1.9％),사망1례.면신경해부보류101례(95.3％),은신경해부보류75례(70.8％).면신경공능(House-Brackmann Ⅰ급、Ⅱ급)보류73례(68.9％),은력보류솔위72.3％ (47/65).결론 대소뇌뇌교각뇌막류진행림상분형,선택합괄적수술입로이급술중일정적수술기교,능구제고면은신경공능보류.
Objective To explore the clinical classification,microsurgical technique and intraoperative preservation of facial and auditory nerve function for cerebellopontine meningiomas.Methods 106 patients with cerebellopontine meningiomas treated with microneuro surgery were analyzed retrospectively.All Tumors resection was performed through the suboccipital retrosigmoid approach.Results Complete resection was achieved in 89 patients(84.0％ ),15 subtotal removal and 2 partial removal.One patient died after the operation.Facial nerves were anatomically preserved completely in 101 patients (95.3％).Auditory nerves were anatomically preserved completely in 75 patients(70.8％ ).The rate of the facial nerve function preservation( House-Brackmann Ⅰ,Ⅱ ) was 68.9％ (73 patients).The rate of the auditory nerve function preservation was 72.3％ (47/65).Conclusions It is important to classify the cerebellopontine meningiomas into different clinical classifications and to choose the appropriate surgical approaches and surgical techniques,which can help to preserve the function of facial and auditoy nerve.
