显微手术辅以内镜切除大型听神经瘤

The treatment of acoustic neuroma with endoscope-assisted microneurosurgery

目的 探讨神经内镜辅助的显微神经外科手术治疗大型听神经瘤的临床意义和手术方法。 方法 16例大型听神经瘤 ,均施行患侧枕下乙状窦后入路显微手术切除 ,同时辅以神经内镜配合。 结果 肿瘤全切除 13例 ,次全切除者 3例。面神经保留 14例 ,短期并发症 4例。所有患者神经功能均有不同程度的恢复。 结论 神经内镜辅助显微手术切除大型听神经瘤 。

Objective To study the techniques and methods of the treatment for large acoustic neuroma with endoscope assisted microneurosurgery Methods Sixteen patients were treated with endoscope assisted microneurosurgery Results Tumors were totally removed in 13 cases and were subtotally removed in 3 cases,facial nerves were reserved in 14 cases short period complications happened in 4 cases The function of defective nerves recovered to some extent in all cases Concliusions Microneurosurgery treatment assisted with neuroendoscope may increase the total removal rate and it is effective and minimally invasive