摘要
目的:观察耳内镜辅助下听神经瘤切除术的疗效及并发症。方法:在硬管耳内镜辅助下采用迷路进路及乙状窦后进路行听神经瘤手术11例。结果:肿瘤全切除9例(81.8%),2例(18.2%)残留部分囊壁;术中内镜下探查面神经均完整,其中9例(81.8%)术后无面瘫表现,2例(18.2%)术后出现轻度周围性面瘫;术中内镜下探查蜗神经均完整,2例(18.2%)术后听力与术前比较保持不变,9例(81.8%)出现不同程度听力下降,其中,中度感音神经性聋1例,中重度2例,重度3例,极重度3例。结论:听神经瘤切除术中使用耳内镜可提高血管、神经保全率及肿瘤全切率,但也有其不足,仅能作为显微镜手术的辅助手段。
Objective： To explore the therapeutic efficacy and complications of endoscope assisted surgical resection of acoustic neuroma. Method： Assisted by hard tube ear endoscope, 11 patients with acoustic neuroma were operated via labyrinthine approach and retrosigmoid approach. Result： Total removal was achieved in 9 （81.8%） cases, while subtotal removal was achieved in 2（18.2 %） cases. Facial nerves and cochlear nerves were preserved completely during operation in all cases. After operation 9 （81.8%） cases had no facial paralysis ,while the other 2 cases （18.2%） had mild peripheral facial paralysis. The same hearing level as that of preoperation in 2 patients （18. 2%）, hearing impairment in different degrees in 9 patients（81.8%）, among which moderate sensorinueral hearing loss in 1 patient, moderate to severe in 2 patients, severe in 3 patients, profound in 3 patients. Conclusion：The application of ear endoscope in acoustic neruoma surgery can improve the total removal rate of tumors and the salvage rate of vessels and nerves. However, its disadvantages make it an assistant method for microsurgery.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2008年第16期729-731,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
广东省科技计划项目(No:2007B031502006)
关键词
内镜检查
听神经瘤
外科手术
Endoscope
Acoustic neuroma
Surgical operation
