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听神经瘤手术的听力保存 被引量：6

Hearing Preservation During Acoustic Neurinoma Resection
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摘要 目的探讨听神经瘤手术的听力保留。方法回顾分析2000年至2012年在解放军总医院耳鼻喉头颈外科经听力保留手术切除听神经瘤的病例。结果 32例患者中,术后成功保留听力者为43.8%(14/32)。其中,听功能A级者5例,B级者5例,C级者3例,D级者1例。结论保留听力的听神经瘤切除术可取得相当的听力保存率,是可选择的听神经瘤治疗方法。 Objective To study the possibility of hearing preservation during resection of acoustic neurinoma. Methods A retrospective case review at the Department of Otolaryngology, PLA General Hospital, was conducted on patients that un？derwent resection of acoustic neurinoma from 2000 through 2012 with attempts to preserve hearing. Result Of the 32 pa？tients in this review, hearing was preserved in 14 （43.8%）, with 5 showing class A hearing, 5 showing class B hearing, 3 showing class C hearing and 1 showing class D hearing. Conclusion Hearing preservation during acoustic neuroma surgery can be successful and offered as a realistic treatment option for patients with acoustic neurinoma.
作者 蔡超婵 韩东一
机构地区 解放军总医院耳鼻咽喉头颈外科
出处 《中华耳科学杂志》 CSCD 北大核心 2013年第1期1-5,共5页 Chinese Journal of Otology
关键词 听神经瘤 蜗神经 听力保存 听性脑干反应 复合动作电位 Aeoustie neurinoma Cochlear nerve Hearing preservation ABR CAP
分类号 R739.61 [医药卫生—肿瘤]
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参考文献17

  • 1Monsell EM, Balkany TA, Gates GA, et al. Committee on Hearing and Equilibrium guidelines for the evaluation of hearing preserva- tion in acoustic neuroma (vestibular schwannoma). Otolaryngol Head Neck Surg, 1995, 113(3): 179-180.
  • 2Brackmann DE, Owens RM, Friedman RA, et al. Prognostic factors for hearing preservation in vestibular schwannoma surgery. Am J Otol, 2000, 21(3):417-424.
  • 3Stangerup S E. Epidemiology and Natural History of Vestibular Schwannoma. Otolaryngology-Head and Neck Surgery, 2010, 143 (2):92-93.
  • 4Gardner G, Robertson JH. Hearing preservation in unilateral acous- tic neuroma surgery. Ann Otol Rhinol Laryngol, 1988, 97(1):55-66.
  • 5Moriyama T, Fukushima T, Asaoka K, et al. Hearing preservation in acoustic neuroma surgery: importance of adhesion between the co- chlear nerve and the tumor. Journal of neurosurgery, 2002, 97(2): 337-340.
  • 6Post K D, Eisenberg M B, Catalano P J. Hearing preservation in ves- tibular schwannoma surgery: what factors influence outcome?. Jour- nal of neurosurgery, 1995, 83(2): 191-196.
  • 7Samii M, Matthies C. Management of 1000 vestibular schwannomas (acoustic neuromas): hearing function in 1000 tumor resections. Neu- rosurgery, 1997, 40(2):248-262.
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  • 9Battaglia A, Mastrodimos B, Cueva R. Comparison of growth patterns of acoustic neurornas with and without radiosurgery. Otol Ncurotol, 2005, 27(5):705-712.
  • 10Staecker H, Nadol JB Jr, Ojeman R, et al. Hearing preservation in acoustic neuroma surgery: middle fossa versus retrosigmoid ap- proach. Am J Otol, 2000, 21(3):399-404.

二级参考文献34

  • 1王锡温,李树峰,陈秀梅,张庆泉,姚玉健,邢建萍.内窥镜下桥小脑角手术[J].中华耳科学杂志,2003,1(1):29-31. 被引量：7
  • 2方耀云,杨伟炎.耳内镜在耳与耳神经外科临床的应用[J].中华耳科学杂志,2003,1(1):55-59. 被引量：24
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  • 5[3]Satar B, Yetiser S, Ozkaptan Y . Impact of tumor size on hearing outcome and facial function with the middle fossa approach for acoustic neuroma: a meta-analytic study. Acta Otolaryngol. 2003;123:499-505.
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  • 10[6]Low WK. Enhancing hearing preservation in endoscopic assisted excision of acoustic neuroma via the retrosigmoid approach. J laryngol Otol, 1999, 113: 973-977.

共引文献31

同被引文献39

引证文献6

二级引证文献12

中华耳科学杂志
2013年 第1期

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