| 经迷路－小脑幕入路切除大型听神经瘤 |
| |
| 引用本文： | 沈建康,胡秉诚,李国文,赵卫国,成侃,王健,濮春华.经迷路－小脑幕入路切除大型听神经瘤[J].中华外科杂志,1996(12). |
| |
| 作者姓名： | 沈建康 胡秉诚 李国文 赵卫国 成侃 王健 濮春华 |
| |
| 作者单位： | 上海第二医科大学瑞金医院神经外科 |
| |
| 摘 要： | 作者采用经迷路－内听道－小脑幕联合入路切除３０例大型听神经瘤。肿瘤全切除率达９６．７％，无手术死亡。面神经解剖保留率为５３．３％，功能保留率为３６．７％。该入路的主要优点是：（１）进路直接，显露良好；（２）充分打开内听道；（３）手术后反应轻；（４）入路可灵活变通或改良。对于手术技术、手术后并发症的防治和面神经保留等进行简要讨论。
|
| 关 键 词： | 神经瘤，听 神经外科手术 |
Translabyrinthine-transtentorialapproachforremovaloflargeacousticneuromas |
| |
| ShenJiankang,HuBingcheng,LiGuowen,et al..Translabyrinthine-transtentorialapproachforremovaloflargeacousticneuromas[J].Chinese Journal of Surgery,1996(12). |
| |
| Authors: | ShenJiankang HuBingcheng LiGuowen |
| |
| Institution: | ShenJiankang,HuBingcheng,LiGuowen,etal.DepartmentofNeurosurgery,RuijinHospital,ShanghaiSecondMedicalUniversity,Shanghai200025. |
| |
| Abstract: | In30consecutivepatientswithlargeacousticneuromas,whichweremorethan4.0cmindiameter,tumorexcisionwasperformedbyaone-stagecombinedtranslabyrinthine-transtentorialap-proach.Thetumorsweretotalyremovedin29patients(96.7%),withoutdeath.Thefacialnervewaspreservedanatomicalyin16patients(53.3%),andfunctionalyin11(36.7%).Mainadvantagesofthisapproachinclude:(1)directapproachwithamoreextensiveexposure;(2)identificationofboththeoriginofthefacialnerveatthebrainstemorintheinternalauditorycanal;(3)minimalpostoperativere-action;(4)combinationwithotherapproaches.Abriefdiscussionisbeenmadeonoperativetecnique,preventionofpostoperativecomplicationsandfacialnervepreservation. |
| |
| Keywords: | Neuroma acousticPsychosurgery |
| 本文献已被 CNKI 等数据库收录！ |
|
