听神经瘤继发面肌痉挛的手术要点及疗效

发布时间：2018-04-11 18:46

本文选题：桥小脑角肿瘤 + 面肌痉挛　；参考：《广东医学》2016年21期

【摘要】：目的回顾性分析听神经瘤继发性面肌痉挛的临床疗效,探讨该类面肌痉挛手术操作要点及其与术后疗效的关系。方法分析8例听神经瘤继发性面肌痉挛病例,采用肿瘤切除+微血管减压术,术中视肿瘤与面神经和(或)可疑责任血管的不同关系进行相应手术操作。结果所有患者均行听神经瘤全切除+微血管减压术。术中肿瘤均全切,8例患者中,6例(75%)症状完全控制,2例(25%)症状有明显改善。8例患者中明确责任血管者7例,6例(85.7%)症状完全控制。结论肿瘤切除术联合血管减压术是听神经瘤继发性面肌痉挛患者的首选治疗方案。手术原则是保护颅神经功能的前提下争取肿瘤全切和面神经的充分减压,但不同患者需要采取个体化的手术方案。
[Abstract]:Objective to analyze retrospectively the clinical effect of hemifacial spasm secondary to acoustic neuroma, and to explore the operative points of hemifacial spasm and its relationship with postoperative curative effect.Methods eight patients with secondary hemifacial spasm of acoustic neuroma were treated with microvascular decompression after tumor resection. The operative procedures were performed according to the relationship between the tumor and the facial nerve and / or suspicious responsible vessels during the operation.Results all patients underwent total resection of acoustic neuroma and microvascular decompression.In 8 cases of total resection of tumor, 6 cases had complete control of symptoms, 2 cases had significant improvement of symptoms, 7 cases had definite responsible vessels, 6 cases had complete control of symptoms.Conclusion tumor resection combined with vascular decompression is the first choice for patients with secondary hemifacial spasm of acoustic neuroma.The principle of operation is to protect the cranial nerve function while striving for the total resection of the tumor and the full decompression of the facial nerve, but different patients need to adopt individualized operation plan.
【作者单位】：中国人民武装警察部队北京市总队医院神经外科;中国人民武装警察部队总医院脑系科;
【分类号】：R739.4;R651.3

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