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枕下乙状窦后入路听神经瘤切除手术中的面神经保护策略

许志勤

许志勤. 枕下乙状窦后入路听神经瘤切除手术中的面神经保护策略[J]. 协和医学杂志, 2021, 12(6): 1004-1008. doi: 10.12290/xhyxzz.2021-0569
引用本文: 许志勤. 枕下乙状窦后入路听神经瘤切除手术中的面神经保护策略[J]. 协和医学杂志, 2021, 12(6): 1004-1008. doi: 10.12290/xhyxzz.2021-0569
XU Zhiqin. The Strategy of Facial Nerve Preservation in Acoustic Neuroma Surgery via Suboccipital Retrosigmoid Approach[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(6): 1004-1008. doi: 10.12290/xhyxzz.2021-0569
Citation: XU Zhiqin. The Strategy of Facial Nerve Preservation in Acoustic Neuroma Surgery via Suboccipital Retrosigmoid Approach[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(6): 1004-1008. doi: 10.12290/xhyxzz.2021-0569

枕下乙状窦后入路听神经瘤切除手术中的面神经保护策略

doi: 10.12290/xhyxzz.2021-0569
基金项目: 国家重大疾病多学科合作诊疗能力建设项目
详细信息
    作者简介:

    许志勤  电话:010-69152530,E-mail:xuzhq1999@sina.com

  • 中图分类号: R739.41

The Strategy of Facial Nerve Preservation in Acoustic Neuroma Surgery via Suboccipital Retrosigmoid Approach

Funds: National Multidisciplinary Cooperative Diagnosis and Treatment Capacity Building Project for Major Diseases
More Information
  • 摘要: 听神经瘤是常见的颅内肿瘤,占桥脑小脑角肿瘤的80%~90%,显微外科手术治疗是其主要治疗方法,枕下乙状窦后入路是最常用的手术入路,面神经保护是听神经瘤手术的重要目标之一。为了保护面神经,需对患者术前面神经功能进行准确评估,熟知面神经在桥脑小脑角池和内听道内的走行方式及其变化,术中需适当磨除内听道后壁骨质,充分降低颅内压力和肿瘤内减压,遵循神经束膜下分离和双向分离原则,并尽量减少双极电凝的使用,而面神经监护需贯穿于整个听神经瘤的暴露和切除过程。
    利益冲突:
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    Dong L, Zhang J. Summary of Vestibular Schwannoma Cases Treated with Microsurgery: Ten Years Experiences at a Single-Center[J]. Zhonghua Erkexue Zazhi, 2020, 18: 20-24. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHER202001004.htm
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出版历程
  • 收稿日期:  2021-07-31
  • 录用日期:  2021-09-30
  • 网络出版日期:  2021-10-25
  • 刊出日期:  2021-11-30

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