作者自1979年采用Rand的枕下经内听道入路,应用显微外科技术为19例听神经瘤进行了手术治疗,均做了全切除并保留了面神经,经3～41个月的随访,仅1例术后死亡,面神经功能正常9例,轻度面瘫6例,明显面瘫3例(包括死亡的1例),保留部分听力4例,恢复原工作或家务工作16例,失明1例。手术取侧卧、头稍高前屈位。耳后纵形直切口,咬除单侧枕下颅骨,切开硬脑膜,刺破枕大池蛛 The author used Rand’s occipital transon-occipital approach from 1979 to 1979. Surgical treatment was performed on 19 patients with acoustic neuroma by microsurgical technique. All patients underwent total resection and facial nerve preservation. After 3 to 41 months of follow-up, Only 1 patient died of facial nerve function in 9 cases, mild facial paralysis in 6 cases, 3 cases of obvious facial paralysis (including death in 1 case), retained part of the hearing in 4 cases, restore the original work or housework in 16 cases, 1 case of blindness. Surgery to take the side, slightly higher flexion head. Longitudinal straight ear ear incision, bite off the unilateral suboccipital skull, cut the dura mater, punctured the pillow pool spider