[1]袁 伟 张明山 梁紹栋等.44例颈静脉孔区神经鞘瘤的手术疗效分析[J].中国临床神经外科杂志,2018,(08):523-525.[doi:doi:10.13798/j.issn.1009-153X.2018.08.004]
 YUAN Wei,ZHANG Ming-shan,LIANG Shao-dong,et al.Microsurgery for jugular foramen schwannomas (report of 44 cases)[J].,2018,(08):523-525.[doi:doi:10.13798/j.issn.1009-153X.2018.08.004]
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44例颈静脉孔区神经鞘瘤的手术疗效分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年08期
页码:
523-525
栏目:
论著
出版日期:
2018-08-25

文章信息/Info

Title:
Microsurgery for jugular foramen schwannomas (report of 44 cases)
文章编号:
1009-153X(2018)08-0523-03
作者:
袁 伟 张明山 梁紹栋等
作者单位:100093北京,首都医科大学三博脑科医院神经外科[袁 伟(硕士研究生,现在四川省合江县人民医院神经外科工作)、张明山];157000 黑龙江牡丹江,牡丹江医学院附属红旗医院神经外科[袁 伟(硕士研究生)、梁紹栋、李洪哲]
Author(s):
YUAN Wei12 ZHANG Ming-shan1 LIANG Shao-dong2 LI Hong-zhe2.
1. Department of Neurosurgery, Sanbo Brain Hospital, Beijing 100093, China; 2. Department of Neurosurgery, Hongqi Hospital, Mudanjiang Medical college, Mudanjiang 157000, China
关键词:
神经鞘瘤颈静脉孔区显微手术疗效
Keywords:
Schwannomas Jugular foramen Microsurgery Cranial nerve Neurologic deterioration Curative effects
分类号:
R 739.41; R 651.1+1
DOI:
doi:10.13798/j.issn.1009-153X.2018.08.004
文献标志码:
A
摘要:
目的 探讨颈静脉孔区神经鞘瘤(JFSs)的手术疗效。方法 回顾性分析2009~2016年手术治疗的44例JFSs的临床资料。采用枕下乙状窦后入路33例,远外侧入路3例,颞下窝A型入路2例,颈前入路1例,颈-乳突联合入路2例,乙状窦后-岩骨联合入路2例,乙状窦后-颈前联合入路1例。结果 肿瘤全切除26例,次全切除16例,部分切除2例。术后后组颅神经近期和远期功能障碍发生率分别为43%(19/44)和28%(11/39)。出院时KPS评分[(71.6±13.9)分]较术前[(75.9±12.7)]显著降低(P<0.05)。39例随访5~85个月,平均(47.1±20.7)个月;肿瘤复发3例;随访KPS评分[(82.3±14.1)]较出院时显著增高(P<0.05)。结论 手术治疗JFSs近期后组颅神经症状可能加重,远期效果良好。
Abstract:
Objective To investigate the curative effects of microsurgery on jugular foramen schwannomas (JFSs). Methods The clinical data of 44 patients with JFSs who were surgically treated from January, 2009 to September, 2016, were analyzed retrospectively. Of 44 patients with JFSs, 33 were treated by microsurgery via retrosigmoid approach, 3 via far lateral approach, 2 via infratemporal fossa approach, 1 via cervical collar incision approach, 2 via retrosigmoid and transpetrosal approach and 1 via retrosigmoid and cervical collar incision approach. Results The total resection of JFSs was achieved in 26 patients, subtotal in 16 and partial in 2. The rates of transient and permanent disturbances of lower cranial nerves function were 43% (19/44) and 28% (11/39) respectively. Conclusion The long-term curative effect of microsurgery on JFSs is good, but the disturbance of the cranial nerves function may be recently aggravated due to the microsurgery.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者:李洪哲,E-mail:lihongzhe1965@163.com
更新日期/Last Update: 2018-09-07