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[目的]探讨显微外科技术治疗听神经瘤,以提高面听神经的保留率,预防并发症的发生。[方法]对经显微手术治疗的30例听神经瘤进行回顾性分析。[结果]肿瘤全切除28例(93.3%),面神经解剖保留25例(83.3%),有效听力保留4例(13.33%),无手术死亡。[结论]显微外科手术是治疗大中型听神经瘤的有效方法,熟悉肿瘤与面听神经的病理解剖关系,有助于提高手术效果。
[Objective] To investigate the treatment of acoustic neuroma by microsurgical technique in order to improve the retention rate of facial nerve and prevent the occurrence of complications. [Methods] Thirty patients with acoustic neuroma treated by microsurgery were retrospectively analyzed. [Results] Totally 28 cases (93.3%) had complete resection of tumor, 25 cases (83.3%) had facial nerve anatomy, 4 cases (13.33%) had effective hearing preservation, and no operative death occurred. [Conclusion] Microsurgery is an effective method for the treatment of large and medium sized acoustic neuroma and is familiar with the pathological anatomy of the tumor and the facial nerve, which helps to improve the surgical results.