摘要
目的：探讨听神经瘤分级与选择显微外科手术入路的关系。方法：根据１０４例听神经瘤的临床表现和影像学检查所见，将肿瘤分为四级，选择不同的入路行显微外科手术治疗。结果：应用显微外科技术将肿瘤全切除９１例，次全切除１３例。面神经保留率达９３．２７％，听力保存率达１６．３５％。无重残及死亡病例。结论：根据听神经瘤的大小、扩展方向及临床特征，可以将肿瘤分级，选择不同的显微外科手术入路，提高肿瘤全切除率，有效地保护颅神经的功能。
Objective:To study Koos grading and appropriate microsurgical surgery approach in acoustic neuroma Methods:104 cases of acoustic neuromas were classified for four grade by their clinical symptoms and characteristic image,and removed by appropriate microsurgical surgery appr oach Results:In this series,total tumor remove was accomplished in 91 cases and subtotal tumor remove in 13 cases with nooperative mortality 97 cases of facial nerves(93 27%)and 17 cases of acoustic nerves(16 35%)in all cases were preserved Conclusions:It is realize that acoustic neuromas should be graded according to tumor size To preserve cranial nerve function,the tumor should be removed by appropriate microsurgical surgery approach
出处
《中华显微外科杂志》
CSCD
北大核心
1997年第1期19-21,共3页
Chinese Journal of Microsurgery
