| 面神经功能保留角度探讨小型听神经瘤的治疗 |
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| 引用本文： | 吴小军,陈怀瑞,陈菊祥,胡国汉,黄承光,骆纯,卢亦成.面神经功能保留角度探讨小型听神经瘤的治疗[J].中华神经外科疾病研究杂志,2010,9(4):345-347. |
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| 作者姓名： | 吴小军 陈怀瑞 陈菊祥 胡国汉 黄承光 骆纯 卢亦成 |
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| 作者单位： | 第二军医大学长征医院神经外科,上海,200003 |
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| 摘 要： | 目的从面神经功能保留角度探讨小型听神经瘤治疗方法的选择。方法回顾性分析直径1～3cm的听神经瘤43例，所有肿瘤均经MRI确诊，手术方法采用乙状窦后入路，对患者进行术前、术后面神经功能测定。结果小型听神经瘤经乙状窦后入路手术切除后，术后2W内面神经功能Ⅰ～Ⅲ级占77％，长期随访面神经功能Ⅰ～Ⅲ级占87％。结论采用乙状窦后入路切除小型听神经瘤对面神经的功能保留率较高，但是保留率不如立体定向放射外科，且手术并发症相对较高。
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| 关 键 词： | 听神经瘤 面神经 乙状窦后入路 显微神经外科 立体定向放射外科 |
Treatment choice for small acoustic neuroma with respect to facial nerve preservation |
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| WU Xiaojun,CHEN Huairui,CHEN Juxiang,HU Guohan,HUANG Chengguang,LUO Chun,LU Yicheng.Treatment choice for small acoustic neuroma with respect to facial nerve preservation[J].Chinese Journal of Neurosurgical Disease Research,2010,9(4):345-347. |
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| Authors: | WU Xiaojun CHEN Huairui CHEN Juxiang HU Guohan HUANG Chengguang LUO Chun LU Yicheng |
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| Institution: | (Department of Neurosurgery, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China ) |
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| Abstract: | Objective To evaluate the treatment choice for small acoustic neuroma with respect to facial nerve preservation. Methods A series of 43 patients with unilateral acoustic neuroma less than 3 cm in diameter were analyzed. All patients were treated by retrosigmoid approach. Pre-and post-operative monitoring of the facial nerve function was performed. Results The serviceable facial nerve function （ House-Brackmann Grade 1-3） was 77% postoperatively and 87% in the long time follow-up. Conclusion For small acoustic neuroma less than 3 cm in diameter, microsurgical removal via retrosigmoid approach is feasible, but radiosurgery gets better facial nerve preservation than microsurgery. |
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| Keywords: | Acoustic ueuroma Facial nerve Retrosigmoid approach Microneurosurgery Stereotactic radiosurgery |
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