中国肿瘤外科杂志2024，Vol.16Issue(2)：132-135,4.DOI:10.3969/j.issn.1674-4136.2024.02.006
神经内镜辅助与单纯显微镜下听神经瘤切除术的疗效比较
Comparison of the therapeutic efficacy between endoscope-assisted and pure microscopic resection in acoustic neuroma surgery
摘要
Abstract
Objective To compare the efficacy of endoscope-assisted and pure microsurgery on acoustic neuroma.Methods The clinical data of 72 patients with acoustic neuroma admitted to the Neurosurgery Department of The First Affiliated Hospital of Nanjing Medical University from January 2019 to July 2022 were retrospectively analyzed.The patients were divided into an observation group(endoscope-assisted+microsurgery)(28 cases)and a control group(microsurgery)(44 cases)according to different surgical methods.The tumor resection rate,the range of the removal of the posterior lip of the internal auditory canal,the postoperative complication rate,and the facial nerve function(House-Brackmann grade)before and 6 months after operation were compared between the two groups.Results There was no significant difference between the observation group and the control group in total tumor resection rate and postoperative nerve function rate(P＞0.05);The removal range of the posterior lip of the internal auditory canal in the observation group(5.70±0.58 mm)was significantly smaller than that in the control group(6.70±0.58 mm)and the incidence of complications in the observation group(7.14%)was significantly lower than that in the control group(27.3%),and the difference was statistically significant(P＜0.05).Conclusions Endoscope-assisted microsurgery can reduce the abrasion range of the posterior lip of the internal auditory canal,thus reducing the occurrence of complications.关键词
听神经瘤/神经内镜/显微手术/面神经功能Key words
Acoustic neuroma/Endoscope/Microsurgery/Facial nerve function引用本文复制引用
李瑞,骆慧,刘宁,尤永平,王协锋,王治超,程星,李华宁,尹建星,颜伟,张军霞,陶超,王慧博..神经内镜辅助与单纯显微镜下听神经瘤切除术的疗效比较[J].中国肿瘤外科杂志,2024,16(2):132-135,4.基金项目
国家自然基金面上项目(82172667) （82172667）
