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显微外科手术切除大型听神经瘤及保护面神经的技巧

韦红恩

川北医学院学报2017,Vol.32Issue(6):921-922,929,3.
川北医学院学报2017,Vol.32Issue(6):921-922,929,3.DOI:10.3969/j.issn.1005-3697.2017.06.033

显微外科手术切除大型听神经瘤及保护面神经的技巧

Application of microsurgery in incising large acoustic neuroma and skills of protecting nervus facialis

韦红恩1

作者信息

  • 1. 广西科技大学附属柳州市人民医院神经外科,广西柳州545006
  • 折叠

摘要

Abstract

Objective:To explore the skills of protecting nervus facialis during incision of large acoustic neuroma by microsurgery.Methods:The clinical data of 44 patients with microsurgery for large acoustic neuroma were analyzed retrospectively,so as to summarize the surgical operation skills.Results:Of the 44 patients,36 (81.82%) received total resection,6 (13.64%) received subtotal resection and 4 (9.09%) received partial resection.During operation,38 (86.36%) patients had nervus facialis preserved completely.All patients were followed up by one year,and none had recurrence,but 5 patients had poor reeovery of facial paralysis.Conclusion:The large the size of acoustic neuroma is,the more difficulty of intra-operative preservation of nervus facialis will become.The microsurgery of large acoustic neuroma requires that surgeons should be familiar to the microsurgery skills,and have enough patience and confidence to the surgery.

关键词

大型听神经瘤/面神经/显微外科手术

Key words

Large acoustic neuroma/Nervus facialis/Microsurgery

引用本文复制引用

韦红恩..显微外科手术切除大型听神经瘤及保护面神经的技巧[J].川北医学院学报,2017,32(6):921-922,929,3.

川北医学院学报

OACSTPCD

1005-3697

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