经枕下乙状窦后锁孔入路在听神经瘤治疗中的应用探讨

发布时间：2018-02-02 13:48

本文关键词： 经枕下乙状窦后锁孔入路听神经瘤应用　出处：《中国现代药物应用》2016年22期 　论文类型：期刊论文

【摘要】：目的探讨经枕下乙状窦后锁孔入路在听神经瘤治疗中的应用效果。方法选取听神经瘤患者32例,均予以经枕下乙状窦后锁孔入路显微手术治疗,观察患者的临床治疗改善情况及并发症情况。结果 32例患者的听神经瘤均顺利切除。其中全切20例,占比62.5%,次全切12例,占比37.5%;面神经解剖保留30例,占比93.8%,听力保留25例,占比78.1%。术后无死亡情况发生,其中有2例患者出现血肿,1例患者出现颅内感染,并发症发生率为9.4%,3例患者经对症处理后全部好转出院。结论经枕下乙状窦后锁孔入路治疗听神经瘤具有创伤小、手术时间短、术后并发症少、患者恢复快的优点,是显微切除中、小型听神经瘤一种安全有效的手术方式。
[Abstract]:Objective to investigate the effect of transoccipital retrosigmoid keyhole approach in the treatment of acoustic neuroma. Methods 32 patients with acoustic neuroma were treated by microsurgery via suboccipital retrosigmoid keyhole approach. Results all 32 cases of acoustic neuroma were resected successfully, including 20 cases of total resection (62.5%) and 12 cases of subtotal resection (37.5%). There were 30 cases of facial nerve anatomical preservation (93.8%), 25 cases of hearing preservation (78.1%). There was no death after operation. Among them, 2 cases had hematoma and 1 case had intracranial infection. The incidence of complications was 9. 4% and 3 patients were all better and discharged after symptomatic treatment. Conclusion Transoccipital retrosigmoid keyhole approach for acoustic neuroma has less trauma, shorter operation time and less postoperative complications. The advantage of quick recovery is a safe and effective method for microresection of small acoustic neuroma.
【作者单位】：辽宁省朝阳市中心医院;
【分类号】：R739.4
【正文快照】： 听神经瘤也可称为前庭神经鞘膜瘤,是颅内神经肿瘤中最常见的良性肿瘤,多发于前庭上神经,其次为前庭下神经,肿瘤多为良性,生长较缓慢,手术切除具有较好的预后效果[1]。经枕下乙状窦后锁孔入路切除听神经瘤是常用的手术入路方式,本次作者以本院收治的32例听神经瘤患者为例,分析

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