[1]张申起 彭 彬 陈治标 田道锋 王军民 刘宝辉 杨吉安 陈谦学.大型听神经瘤的手术治疗方法[J].中国临床神经外科杂志,2017,(08):529-532.[doi:10.13798/j.issn.1009-153X.2017.08.001]
 ZHANG Shen-qi,PENG Bin,CHEN Zhi-biao,et al.Surgical treatment of large vestibular schwannomas and intraoperative protection of facial nerve[J].,2017,(08):529-532.[doi:10.13798/j.issn.1009-153X.2017.08.001]
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大型听神经瘤的手术治疗方法()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年08期
页码:
529-532
栏目:
论著
出版日期:
2017-08-25

文章信息/Info

Title:
Surgical treatment of large vestibular schwannomas and intraoperative protection of facial nerve
文章编号:
1009-153X(2017)08-0529-03
作者:
张申起 彭 彬 陈治标 田道锋 王军民 刘宝辉 杨吉安 陈谦学
武汉大学人民医院神经外科
Author(s):
ZHANG Shen-qi PENG Bin CHEN Zhi-biao TIAN Dao-feng WANG Jun-min LIU Bao-hui Yang Ji-an CHEN Qian-xue.
Department of Neurosurgery, Renmin Hospital, Wuhan University, Wuhan 430060, China
关键词:
大型听神经瘤神经电生理监测面神经功能手术治疗
Keywords:
Large vestibular schwannoma Eletrophysiological monitoring Facial nerve function Microsurgery
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2017.08.001
文献标志码:
A
摘要:
目的 探讨在术中神经电生理监测下经枕下-乙状窦后入路显微手术切除大型听神经瘤的方法及效果。方法 回顾性分析2013年1月至2015年10月收治的85例大型听神经瘤的临床资料,均在术中神经电生理监测下,采取直切口乙状窦后入路小骨窗显微手术切除肿瘤。结果 肿瘤全切除76例(89.4%),次全切除9例(10.6%);术中面神经解剖保留80例(94.1%)。术后即刻、7 d、3个月、6个月、9个月、1年面神经功能分级优良率(H-B分级Ⅰ~Ⅱ级)分别为88.2%、56.0%、41.9%、50.9%、68.6%、86.7%。结论 在术中神经电生理监测下显微手术治疗大型听神经瘤,可更好保护面神经功能,提高术后生活质量。
Abstract:
Objective To explore the surgical technique of large vestibular schwannomas (LVS) and methods of intraoperative protection of facial nerve. Methods A retrospective analysis of clinical data of 85 patients with LVS, who underwent the microsurgery via suboccipital retrosigmoid approach under the electrophysiological monitoring from January, 2013 to October, 2015 in Department of Neurosurgery of Renmin Hospital of Wuhan University, was made. Results The total resection of the tumors was achieved in 76 patients with LVS (89.4%) and subtotal in 9 (10.6%). The facial nerves were anatomically reserved in 80 patients with LVS (94.1%). The excellent rate of the facial nerve function (House-Brackmann classification grades Ⅰ~Ⅱ) immediately, 7 days, 3, 6 and 9 months and 1 year after the surgery were 88.2%, 56.0%, 41.9%, 50.9%, 68.6%, and 86.7%, respectively. Conclusions The surgery via suboccipital retrosigmoid approach under the electrophysiological monitoring is very helpful to protection of facial nerve function and improving quality of life in the patients with LVS.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:湖北省自然科学基金(ZRMS2016001156)通讯作者:陈谦学,E-mail:chenqx666@sohu.com
更新日期/Last Update: 1900-01-01