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[目的]通过对神经内镜辅助下切除桥小脑角占位临床情况的分析,探讨其应用价值。[方法]选择2008年2月～2011年2月某院住院治疗的桥小脑角区肿瘤患者23例为观察组,另选择同时段的桥小脑角区肿瘤患者21例作为对照组。观察组患者采用神经内镜辅助显微神经外科治疗,对照组行传统显微神经外科手术。比较两组间手术疗效,主要观察术后肿瘤残余情况、术中及术后并发症、面神经及听神经功能的改变。[结果]①所有手术均顺利完成,无死亡病例。观察组患者均无肿瘤残留,对照组中有4例(14.3%)患者存在肿瘤残余,两组间肿瘤残余率相比差异无统计学意义(P﹥0.05)。观察组患者均未发生并发症,对照组中有6例(28.6%),其差异有统计学意义(P﹤0.05)。②两组间患者术后面神经及听神经功能比较均无统计学差异(P﹥0.05)。[结论神经内镜辅助显微神经外科切除桥小脑角区占位,手术效果好,并发症少,是一种有效的方法。
[Objective] To explore the clinical value of cerebellopontine angle resection with the help of endoscopic neurosurgery and to explore its application value. [Methods] Twenty-three patients with cerebellopontine angle tumor treated in a hospital from February 2008 to February 2011 were selected as the observation group. Twenty-one patients with tumor of the cerebellopontine angle in the same period were selected as the control group. The patients in the observation group were treated with endoscopic neurosurgery and the control group were treated with conventional microsurgical neurosurgery. The curative effect between the two groups was compared. The residual tumor, intraoperative and postoperative complications, facial nerve and auditory nerve function were observed. [Results] ① All the operations were successfully completed without any deaths. There were no tumor residues in the observation group. There were 4 cases (14.3%) in the control group with residual tumor. There was no significant difference in tumor residual rate between the two groups (P> 0.05). There were no complications in the observation group. There were 6 cases (28.6%) in the control group, the difference was statistically significant (P <0.05). ② There was no significant difference in the function of facial nerve and auditory nerve between the two groups (P> 0.05). [Conclusion The endoscopic neurosurgical microsurgical resection of the cerebellopontine angle occupies the position, the effect is good, less complications, is an effective method.