CAJ | 학술논문

目的：探讨显微手术治疗听神经瘤的临床疗效及操作技巧，以期望提高肿瘤切除率，降低术后并发症。方法回顾性分析2009年1月-2014年1月采用显微外科经枕下乙状窦后入路手术治疗62例听神经瘤患者的疗效并统计并发症情况。结果肿瘤全切53例、次全切7例、大部分切2例。面神经解剖保留58例，功能保留40例。术后并发症：后组颅神经症状加重3例，脑脊液切口漏4例，脑膜炎3例，无死亡病例。结论经枕下乙状窦后入路显微手术切除听神经瘤是一种安全有效的方法，术中采取相关技巧能够提高全切率及减少各种并发症。
목적：탐토현미수술치료은신경류적림상료효급조작기교，이기망제고종류절제솔，강저술후병발증。방법회고성분석2009년1월-2014년1월채용현미외과경침하을상두후입로수술치료62례은신경류환자적료효병통계병발증정황。결과종류전절53례、차전절7례、대부분절2례。면신경해부보류58례，공능보류40례。술후병발증：후조로신경증상가중3례，뇌척액절구루4례，뇌막염3례，무사망병례。결론경침하을상두후입로현미수술절제은신경류시일충안전유효적방법，술중채취상관기교능구제고전절솔급감소각충병발증。
Objective To summarize curative effect and complications in acoustic neuroma microsurgery in order to im -prove postoperative 1ife quality of patients.Methods A retrospective analysis was conducted in 62 acoustic neuroma pa-tients who underwent microsurgical treatment through suboccipital retrosigmoid approach between January 2009 and January 2014 .Results 53 tumors were total removed;7 tumors were subtotal removed;and 2 tumors were partially removed .Ana-tomic facial nerve preservation was achieved in 56 cases and functional facial nerve was preserved in 40 cases.Post-opera-tive complications included aggravated lower cranial nerve symptoms in 3 cases, CSF 1eakage in 4 cases and meningitis in 3 cases.No surgical death was observed .Conclusion Microsurgery is a safe and effective method to remove acoustic neuro-ma via suboccipital retrosigmoid approach .Relative techniques can be used for further improving total removal rate and de-creasing complications .