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51例听神经瘤显微手术切除和面神经保留方法分析
引用本文:毛国华,张铭文,邓志锋,江野锋,祝新根,朱健明. 51例听神经瘤显微手术切除和面神经保留方法分析[J]. 江西医学院学报, 2001, 41(6): 39-41
作者姓名:毛国华  张铭文  邓志锋  江野锋  祝新根  朱健明
作者单位:江西医学院第二附属医院神经外科,江西,南昌,330006 江西医学院第二附属医院神经外科,江西,南昌,330006 江西医学院第二附属医院神经外科,江西,南昌,330006 江西医学院第二附属医院神经外科,江西,南昌,330006 江西医学院第二附属医院神经外科,江西,南昌,330006 江西医学院第二附属医院神经外科,江西,南昌,330006
摘    要:
目的:探讨听神经瘤显微切除术和面神经保留技术.方法:51例听神经瘤均采用枕下乙状窦后人路.显微手术切除肿瘤.并尽可能做到面神经解剖保留.结果:肿瘤全切除45例(88.2%),次全切除6例(11.8%).面神经解剖保留44例(86.3%0.7例(13.7%)未保留成功.结论:认为仔细辨认面神经起始端及面神经与肿瘤关系和近内听道处锐性分离等技术是面神经解剖保留的关键.

关 键 词:听神经瘤,显微外科  面神经  病例报告
文章编号:1000-2294(2001)05-0039-03
修稿时间:2001-07-06

Analysis of Preservation of the Facial Nerve During Acoustic Neuroma Microsurgery(A report of 51 cases)
MAO Guo hua,ZHANG Ming wen,DENG Zhi feng,JIANG Ye feng,ZHU Xin gen,ZHU Jian ming. Analysis of Preservation of the Facial Nerve During Acoustic Neuroma Microsurgery(A report of 51 cases)[J]. Acta Academiae Medicinae Jiangxi, 2001, 41(6): 39-41
Authors:MAO Guo hua  ZHANG Ming wen  DENG Zhi feng  JIANG Ye feng  ZHU Xin gen  ZHU Jian ming
Abstract:
Objective:To investigate the surgical technique of preservation of the facial nerve during acoustic neuroma surgery.Methods:Fifty one cases of acoustic neuroma underwent tumor removal microsurgically by suboccipital approach,and the anatomic integrity of the facial nerves were kept as complete as possible.Results:Total tumor removal was achieved in 45 of the 51 patients(88.2%),subtotal in 6(11.8%).The facial nerves were kept anatomic intact in 44(86.3%) of the patients ,the others were not.Conclusion:Identifing the original segment of the facial nerves and its relationship with the tumor,Separating the tumor sharply near internal acoustic meatus are the key to kept the anatomic integrity of the facial nerve.
Keywords:acoustic neuroma   microsurgery  facial nerve  rase report
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