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目的分析与探讨听神经瘤的手术治疗方法与效果。方法选取2008年1月至2011年1月收治的听神经瘤患者42例,对其临床资料进行回顾性分析,所有患者均采用枕下乙状窦后经过内听道入路接受显微手术。结果42例患者中,采取听神经瘤全切共38例(90.5%),采取听神经瘤次全切共4例(9.5%)。面神经解剖保留共31例(73.8%),术后1年面神经功能保留共35例(83.3%)。结论对于听神经瘤进行手术治疗的过程中,医生能够熟练显微手术的技巧、掌握桥脑小脑角解剖,对于完成肿瘤的切除以及减少面神经的损伤有重要的意义。
Objective To analyze and discuss the surgical treatment of acoustic neuroma and its effects. Methods Forty-two patients with acoustic neuroma admitted to our hospital from January 2008 to January 2011 were retrospectively analyzed. All patients underwent microsurgery after transoccipitated sinus surgery. Results Of the 42 patients, 38 (90.5%) patients underwent acoustic neuroma resection and 4 (9.5%) underwent subtotal neuromyoma. Facial nerve anatomy retained a total of 31 cases (73.8%), 1 year after facial nerve function remained in 35 cases (83.3%). Conclusion During the surgical treatment of acoustic neuroma, doctors are able to master the skills of microsurgery and grasp the anatomy of the cerebellopontine angle. This is of great significance for the completion of tumor resection and reduction of facial nerve injury.