论文部分内容阅读
目的探讨显微手术切除大型听神经鞘瘤的手术技巧和临床疗效。方法对15例大型听神经鞘瘤采用枕下-乙状窦后人路显微手术切除术,并就临床结果进行分析。结果 15例听神经瘤全切11例,次全切4例,术后脑出血再次手术后死亡1例。结论大型听神经鞘瘤手术存在难度和风险,周全的术前评估与手术计划,良好的显微手术技巧能提高全切率、减少并发症。
Objective To investigate the surgical techniques and clinical effects of microsurgical removal of large schwannoma. Methods Fifteen patients with large schwannoma were treated by microsurgery of the suboccipital-sigmoid sinus and the clinical results were analyzed. Results 15 cases of acoustic neuroma were resected in 11 cases and subtotally resected in 4 cases. One case died of reoperation of cerebral hemorrhage after operation. Conclusions There is difficulty and risk in the treatment of large schwannoma. The comprehensive preoperative evaluation and operation plan, and the good microsurgical techniques can improve the full rate and reduce the complications.