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大中型听神经鞘瘤的显微手术治疗

魏宏学 李忠

兰州大学学报(医学版)2009,Vol.35Issue(2):94-96,3.
兰州大学学报(医学版)2009,Vol.35Issue(2):94-96,3.

大中型听神经鞘瘤的显微手术治疗

Micrurgy treatment of large and medium acoustic neurilemoma

魏宏学 1李忠1

作者信息

  • 1. 天水市第一人民医院神经外科,甘肃,天水,741000
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摘要

Abstract

Objective To summarize the experiences of micrurgy in the treatment of large and medium acoustic neurilemoma. Methods 30 patients with acoustic neurilemoma underwent microsurgical resection through suboccipital-retrosigmoid approach,the cerebral dura mater was accurately closed,and the bone flap was reset. Results Out of 30 cases,26 were totally resected, 3 subtotally resected and 1 with greater part resected. Facial nerve was kept anatomic intact in 23 patients. Conclusion Through suboccipital-retrosigmoid approach,micrurgy can resect acoustic neurilemoma,and keep the anatomy and function of facial nerve. Accurate closure of the cerebral dura mater and reset of the bone flap can significantly reduce the leakage of cerebrospinal fluid,subcutaneous fluidify and other complications.

关键词

听神经鞘瘤/显微手术/枕下-乙状窦后入路/面神经保留

Key words

acoustic neurilemoma/micrurgy/suboccipital-retrosigmoid approach/facial nerve reservations

分类

医药卫生

引用本文复制引用

魏宏学,李忠..大中型听神经鞘瘤的显微手术治疗[J].兰州大学学报(医学版),2009,35(2):94-96,3.

兰州大学学报(医学版)

OACSTPCD

2097-681X

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