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华西医学  2015 

听神经瘤术中面神经的保护及病理走行研究

DOI: 10.7507/1002-0179.20150128, PP. 447-450

Keywords: 听神经瘤,显微外科手术,面神经,监测

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Abstract:

目的?研究面神经与听神经瘤的各种病理关系和总结术中面神经保护技巧。方法?回顾性分析2007年1月-2012年3月收治的初次显微手术切除的585例听神经瘤患者的临床资料,统计面神经与听神经瘤的各种病理关系和面神经的解剖和功能保留率。结果?肿瘤全切除552例(94.4%),次全切33例。术中解剖保留面神经558例(95.4%),术后1年面神经功能House-BrackmannⅠ~Ⅳ级549例(93.8%)。面神经位于肿瘤腹上型279例,腹中型243例,腹下型33例,背侧型10例,上方型6例,下方型3例,包裹型11例。结论?准确把握面神经与肿瘤关系的各分型、术中的电生理监测再结合术者娴熟的显微手术技巧能明显提高面神经的解剖保留率,为患者术后面神经功能恢复提供有力保障。

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