桥小脑角区胆脂瘤30例临床分析

目的探讨桥小脑角区胆脂瘤的临床特点及手术入路。方法回顾性分析30例桥小脑角区胆脂瘤患者的临床特点，总结手术入路与技巧等。结果手术全切除26例，次全切除4例，无手术死亡。术后并发症以无菌性脑炎最多见，治疗后痊愈。结论CT、MRI检查可提供胆脂瘤诊断依据。根据胆脂瘤累及的部位，选择好手术入路和运用好显微外科技术可提高手术的全切率，降低术后并发症。

Clinical features and microsurgical resection of cerebellopontine angle cholesteatoma

Objective To investigate the clinical features and microsurgical resection techniques of cerebellopontine angle cholesteatoma. Methods Clinical features, surgical approach and techniques, results and complications were analyzed in 30 cases of cerebellopontine angle cholesteatoma. Results Total resection in 26 cases, subtotal resection in 4 cases ,no operative mortality. Post-operative complications was aseptic encephalitis which was most common after treatment, and all recovered. Conclusion Cerebellopontine angle cholesteatoma was a third category of common tumors, CT, MRI examination can provide diagnosis. According to cholesteatoma involving the site ,selecting a good surgical approach and making good use of microsurgical technique could improve surgical total removal rate and reduce postoperative complications.