[1]陈大瑜 姚国杰 张 戈 李成才 杜 威 韦 可 甘志强 龚 杰.大中型听神经瘤的显微手术治疗及面神经的保护[J].中国临床神经外科杂志,2015,(12):724-726,729.[doi:10.13798/j.issn.1009-153X.2015.12.006]
 CHEN Da-yu,YAO Guo-jie,ZHANG Ge,et al.Microsurgical treatment of large and middle acoustic neuromas and intraoperative preservation of facial nerves[J].,2015,(12):724-726,729.[doi:10.13798/j.issn.1009-153X.2015.12.006]
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大中型听神经瘤的显微手术治疗及面神经的保护()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年12期
页码:
724-726,729
栏目:
论著
出版日期:
2015-12-30

文章信息/Info

Title:
Microsurgical treatment of large and middle acoustic neuromas and intraoperative preservation of facial nerves
文章编号:
1009-153X(2015)12-0724-03
作者:
陈大瑜 姚国杰 张 戈 李成才 杜 威 韦 可 甘志强 龚 杰
430070 武汉,广州军区武汉总医院神经外科
通讯作者:龚 杰,E-mail:leosoko@sina.com
Author(s):
CHEN Da-yu YAO Guo-jie ZHANG Ge LI CHENG-cai DU Wei WEI Ke GAN Zhi-qiang GONG Jie.
Department of Neurosurgery, Wuhan General Hospital, Guangzhou Command, PLA, Wuhan 430065, China
关键词:
听神经瘤电生理监测显微手术面神经
Keywords:
Acoustic neuromas Intraoperative electrophysiological monitoring Microsurgery Facial nerve
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2015.12.006
文献标志码:
A
摘要:
目的 探讨显微手术治疗大中型听神经瘤的疗效及保护面神经的方法。方法 23例大中型听神经瘤(直径>2 cm)患者均在电生理监测下采用枕下乙状窦后入路显微手术切除,术后对其面神经功能进行随防。结果 肿瘤全切除15例,近全切除8例;面神经保留22例,保留率为95.7%;术后面神经功能House-Brackmann分级:1级3例,2级10例,3级6例,4级2例,5级1例,6级1例。术后所有病人随访3~24月,发生脑脊液漏者1例,长期昏迷1例,无死亡病例。结论 显微手术与面神经的电生理监测为全切除大中型听神经瘤并保留面神经提供了保障。
Abstract:
Objective To explore the Methods to treat surgically large and middle acoustic neuromas (LMAN) and preserve the facial nerves. Methods The microsurgery via suboccipital retrosigmoid approach was performed in 23 patients with LMAN under the intraoperative electrophysiological monitoring. All the patients were followed up from 3 to 24 months. Results The total resection of LMAN was achieved in 15 cases (65.2%) and subtotal in 8 cases (34.8%). The anatomic reservation rate of the facial nerve was 95.7% (22/23). No patient died. Conclusions The microsurgical technique and intraoperative electrophysiological monitoring are very helpful to the total resection of LMAN and intraoperative anatomic preservation of the facial nerve.

参考文献/References:

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更新日期/Last Update: 2016-12-30