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囊性听神经瘤的诊断与治疗
引用本文:Su WD,Li XG,Liu R,Jian WC,Liu YG,Zhu SG,Du SR. 囊性听神经瘤的诊断与治疗[J]. 中华外科杂志, 2003, 41(3): 205-207
作者姓名:Su WD  Li XG  Liu R  Jian WC  Liu YG  Zhu SG  Du SR
作者单位:250012,济南,山东大学齐鲁医院神经外科
摘    要:
目的 总结囊性听神经瘤的临床特点及治疗效果。方法 22例患者术前均应用CT和MRI进行诊断,应用乙状窦后入路手术切除肿瘤。术中证实,术后病理确诊囊性听神经瘤。结果 22例肿瘤全切除18例,术后面神经功能分级:Ⅱ级4例、Ⅲ级7例、Ⅳ级3例、Ⅴ级2例、Ⅵ级2例;次全切除4例,面神经功能Ⅱ级。结论 由于囊性听神经瘤的临床特点及疗效差,应把它作为一种特殊亚型来处理。

关 键 词:囊性听神经瘤 诊断 手术治疗 切除术 手术方法
修稿时间:2002-05-30

Diagnosis and treatment of cystic acoustic neuroma
Su Wan-dong,Li Xin-gang,Liu Ran,Jian Wen-cheng,Liu Yu-guang,Zhu Shu-gan,Du Sheng-rong. Diagnosis and treatment of cystic acoustic neuroma[J]. Chinese Journal of Surgery, 2003, 41(3): 205-207
Authors:Su Wan-dong  Li Xin-gang  Liu Ran  Jian Wen-cheng  Liu Yu-guang  Zhu Shu-gan  Du Sheng-rong
Affiliation:Department of Neurosurgery, Qilu Hospital, Shandong University, Ji'nan 250012, China.
Abstract:
OBJECTIVE: To study the clinical features and treatment of cystic acoustic neuroma. METHODS: Twenty-two patients with cystic acoustic neuromas were diagnosed by CT and MRI preoperatively, and the tumors were resected by retrosigmoid approach, and verified by pathological studies. RESULTS: Of the 22 patients, 18 had tumors totally resected (postoperative house Brackman facial nerve grading: grade II in 4 patients, III in 7, IV in 3, V in 2, VI in 2) and 4 had tumors subtotally resected. CONCLUSION: Because of its specific clinical features and poor operative results, cystic acoustic neuroma should be regarded as a specific subtype.
Keywords:Neuroma  acoustic  Neoplasms  cystic  mucinous  and serous  Neurosurgical procedures
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