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听神经瘤的手术切除及常见并发症分析
引用本文:王诚,卓治平,周焜,梁郸,乔志立.听神经瘤的手术切除及常见并发症分析[J].武汉大学学报(医学版),2011,32(5).
作者姓名:王诚  卓治平  周焜  梁郸  乔志立
作者单位:贵阳市金阳医院/贵阳脑科医院神经外科 贵州 贵阳 550081
摘    要:目的:分析枕下乙状窦后入路切除听神经瘤术后常见并发症及相关因素。方法:对36例听神经瘤患者术后出现的并发症进行回顾性分析。结果:36例听神经瘤全切除28例,次全切除8例。术后出现听力丧失31例,面神经功能障碍18例,后组颅神经损伤4例,脑脊液漏3例,出现脑积水或原有脑积水加重2例,颅内感染1例,颅内出血1例,死亡1例。结论:听神经瘤术后听力丧失和面神经功能障碍发生率高,并发症的发生率与肿瘤的大小、囊性变及术者显微手术熟练程度相关。

关 键 词:听神经瘤  手术  并发症

Surgical Treatment of Acoustic Neuromas and Its Common Complications
WANG Cheng,ZHUO Zhiping,ZHOU Kun,LIANG Dan,QIAO Zhili.Surgical Treatment of Acoustic Neuromas and Its Common Complications[J].Medical Journal of Wuhan University,2011,32(5).
Authors:WANG Cheng  ZHUO Zhiping  ZHOU Kun  LIANG Dan  QIAO Zhili
Institution:WANG Cheng,ZHUO Zhiping,ZHOU Kun,LIANG Dan,QIAO Zhili Dept.of Neurosurgery,Jinyang Hospital of Guiyang City & Guiyang Brain Hospital,Guiyang 550081,China
Abstract:Objective:To study the postoperative complications and related factors of acoustic neuroma resection via suboccipital retrosigmoid approach.Methods:Thirty-six patients with acoustic neuroma were analyzed retrospectively.Results:Total removal was achieved in 28 cases,while subtotal resection was performed in 8 cases.Hearing loss occurred in 31 cases,and other complications were facial nerve dysfunction in 18 cases,lower cranial nerve injury in 4 cases,cerebrospinal fluid leakage in 3 cases,hydrocephalus or a...
Keywords:Acoustic Neuroma  Surgery  Complications  
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