大型听神经瘤的手术治疗

OPERATIVE TREATMENT OF LARGE ACOUSTIC NEUROMA

目的 :介绍大型听神经瘤的手术治疗经验。方法 :回顾性分析一组 4 9例大型听神经瘤的手术入路和手术技巧。结果 :肿瘤全切除 34例 (6 9 4 % ) ,次全切除 1 2例 (2 4 5 % ) ,大部切除 3例 (6 1 % )。面神经解剖保留 4 0例 (81 6 % ) ,功能保留 2 7例 (5 5 1 % )。结论 :采用显微外科技术、选择最佳手术入路是提高肿瘤全切除率及面神经保留率的重要手段 。

Objective:To introduce surgical experience of large acoustic neuroma Methods:The operative approach and surgical technique in 49 cases of large acoustic neuroma were analyzed retrospectively Results:Total resection was achieved in 34 cases (69 4%)and subtotal in 12 cases (24 5%)with no death in our group Facial nerve function was preserved in 27 cases(55 1%) Conclusion:Acoustic neuroma may be totally resected by microsurgical technique which is the best operative approach to get good outcome