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中华神经创伤外科电子杂志 ›› 2018, Vol. 04 ›› Issue (04) : 238 -242. doi: 10.3877/cma.j.issn.2095-9141.2018.04.012

所属专题: 文献

综述

微创手术治疗听神经瘤的研究进展
陈立华1, 徐如祥1,(), 李运军1, 李文德1, 于斌1, 高进宝1, 李翠翠1, 杨艺1   
  1. 1. 100700 北京,陆军总医院附属八一脑科医院
  • 收稿日期:2018-04-26 出版日期:2018-08-15
  • 通信作者: 徐如祥

Research progress in the treatment of acoustic neuroma by minimally invasive surgery

Lihua Chen1, Ruxiang Xu1,(), Yunjun Li1, Wende Li1, Bin Yu1, Jinbao Gao1, Cuicui Li1   

  1. 1. Affiliated Bayi Brain Hospital, The PLA Army General Hospital, Beijing 100700, China
  • Received:2018-04-26 Published:2018-08-15
  • Corresponding author: Ruxiang Xu
  • About author:
    Corresponding author: Xu Ruxiang, Email:
引用本文:

陈立华, 徐如祥, 李运军, 李文德, 于斌, 高进宝, 李翠翠, 杨艺. 微创手术治疗听神经瘤的研究进展[J]. 中华神经创伤外科电子杂志, 2018, 04(04): 238-242.

Lihua Chen, Ruxiang Xu, Yunjun Li, Wende Li, Bin Yu, Jinbao Gao, Cuicui Li. Research progress in the treatment of acoustic neuroma by minimally invasive surgery[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2018, 04(04): 238-242.

中、小型听神经瘤的最佳治疗方案目前尚存争议。伽玛刀治疗的局限性使其不能成为治疗听神经瘤的首选方案,而随访观察也只是一种消极的态度,将会导致错失听力保护的最佳时机。本文通过对比伽玛刀和随访观察治疗的缺陷,综述微创手术治疗的优越性和术中注意事项,明确微创手术治疗是中、小型听神经瘤最佳、最正确的治疗方案。同时,从听神经瘤病理解剖特点出发,既听神经瘤是蛛网膜外肿瘤,而不是蛛网膜下腔肿瘤,对听神经瘤双层蛛网膜形成的机制进行阐述,对听神经瘤术中面听神经的保护方法和术中注意事项进行综述,以提高听神经瘤面听神经解剖和功能保护率。

The optimal treatment options for small and medium-sized acoustic neuromas are still controversial. The limitations of gamma knife are doomed to be the first choice for acoustic neuroma, and follow-up observation is only a negative attitude, and it will eventually lose the best time for hearing protection. This article, based on the defects of gamma knife and follow-up observation, summarizes the advantages of minimally invasive treatment and the cautions in the operation, and proposes that minimally invasive surgery is the best and correct treatment for small and medium acoustic neuromas. At the same time, from the pathological anatomy of the acoustic neuroma, it is suggested that the acoustic neuroma is an intra-arachnoid tumor, not a subarachnoid tumor. The the mechanism of the double arachnoid formation of the acoustic neuroma is described, the protection methods of the facial nerve and the cautions during the operation in the acoustic neuromas are reviewed, to improve the protection rate the anatomy and function of facial nerve and the auditory nerve.

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