[1]李　扬　何强华　杨　华.枕下乙状窦后锁孔入路手术切除听神经瘤[J].中国临床神经外科杂志,2016,(10):603-605.[doi:10.13798/j.issn.1009-153X.2016.10.011]
　LI Yang,HE Qiang-hua,YANG Hua..Microsurgery via suboccipital retrosigmoid keyhole approach for acoustic neuromas[J].,2016,(10):603-605.[doi:10.13798/j.issn.1009-153X.2016.10.011]
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枕下乙状窦后锁孔入路手术切除听神经瘤()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年10期
页码:
603-605
栏目:
论著
出版日期:
2016-10-24

文章信息/Info

Title:
Microsurgery via suboccipital retrosigmoid keyhole approach for acoustic neuromas
文章编号:
1009-153X（2016）10-0603-03
作者:
李　扬　何强华　杨　华
524005 广东湛江，解放军第422医院神经外科
Author(s):
LI Yang;  HE Qiang-hua;  YANG Hua.
Department of Neurosurgery, The 422nd Hospital, PLA, Zhanjiang 524005,
关键词:
听神经瘤; 显微手术; 乙状窦后锁孔入路; 疗效
Keywords:
Acoustic neuromas;  Microsurgery;  Retrosigmoid approach; Keyhole;  Complications
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.10.011
文献标志码:
A
摘要:
目的 探讨枕下乙状窦后锁孔入路手术切除听神经瘤的可行性及安全性。方法 回顾性分析2013年1月至2015年11月采用枕下乙状窦后锁孔入路手术切除14例听神经瘤的临床资料。结果 12例听神经瘤全切除，2例次全切除。14例面神经均获得解剖保留，术后1周复查面神经功能良好（H-B分级Ⅰ~Ⅱ级）13例（92.86%），面神经功能较差（H-B分级Ⅲ级）1例（7.14%）。术后常规复查头颅CT，2例患者术区有少量出血，继续复查未见进展。术后1例出现颅内感染，予加强抗感染后好转。未出现死亡病例。结论 枕下乙状窦后锁孔入路手术切除听神经瘤疗效确切，创伤小、并发症少，面神经功能保存较好。
Abstract:
Objective To explore the feasibility and safety of resection of acoustic neuromas by microsurgery via suboccipital retrosigmoid keyhole approach. Method The clinical data of 14 patients with acoustic neuromas receiving microsurgery via the suboccipital retrosigmoid keyhole approach from January, 2013 to November, 2015 were analyzed retrospectively. Results Of 14 patients with acoustic neuromas, 12 received total resection of the tumors and 2 subtotal. The facial nerves were anatomically reserved in all the patients. The function of facial nerve was good in 13 patients and poor in 1 one week after the operation according to House-Brackmann Scale. Cranial CT after the operation showed there was a little bleeding in operation area in 2 patients, in whom following-up showed that the bleeding did not develop. A patient with postoperative intracranial infection was cured by anti-infection treatment. No patients died of the operation. Conclusion The microsurgery via suboccipital retrosigmoid keyhole approach for removing acoustic neuromas has the merits such as good curative effect, less operation-side injury and fewer postoperative complications and better preservation of the facial nerve function.

参考文献/References:

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更新日期/Last Update: 2016-10-25