| 枕下乙状窦后锁孔入路切除听神经瘤的临床应用 |
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| 引用本文： | 陈兵,陈立华.枕下乙状窦后锁孔入路切除听神经瘤的临床应用[J].湛江医学院学报,2005,23(3):248-249. |
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| 作者姓名： | 陈兵 陈立华 |
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| 作者单位： | 广东医学院附属医院神经外科,广东,湛江,524001;首都医科大学宣武医院神经外科,北京,100053 |
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| 基金项目： | 广东医学院2003年博士启动项目(基金编号:200207/k03002) |
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| 摘 要： | 目的：探讨乙状窦后锁孔入路切除听神经瘤的手术操作技术。方法：15例听神经瘤采用单侧枕下乳突后“J”形皮肤切口．环钻骨瓣成形，显微镜下手术切除听神经瘤。结果：肿瘤全切除12例．次全切除3例。面神经解剖保留13例，2例术中断裂。术后无颅内感染、颅内血肿、皮下积液、脑脊液漏并发症。结论：乙状窦后锁孔入路是切除听神经瘤的一种有效、安全、便捷的微创手术入路。
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| 关 键 词： | 听神经瘤 锁孔 乙状窦后入路 |
| 文章编号： | 1005-4057(2005)03-0248-02 |
| 修稿时间： | 2004年12月14 |
Removal of acoustic neurinoma by retrosigmoid approach with keyhole craniotomy |
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| CHEN Bing,CHEN Li-hua.Removal of acoustic neurinoma by retrosigmoid approach with keyhole craniotomy[J].Journal of Guangdong Medical College,2005,23(3):248-249. |
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| Authors: | CHEN Bing CHEN Li-hua |
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| Institution: | CHEN Bing1,CHEN Li-hua2 |
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| Abstract: | Objective: To summarize the surgical procedure of acoustic neurinoma excision by retrosigmoid approach with keyhole cra- niotomy. Methods: After unilaterally suboccipital incision of J shape and craniotomy, acoustic neurinomas were microscopically removed from 15 patients. Results: The tumors were removed completely in 12 and partially in 3 cases. The facial nerve was preserved in 13 and severed in 2 patients during surgery. There were no postoperative complications such as meningitis, intracranial hematoma, subcutaneous hydrops and cerebrospinal fluid leakage. Conclusion: The retrosigmoid approach with keyhole craniotomy is effective, safe and convenient for the removal of acoustic neurinoma. |
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| Keywords: | acoustic neurinoma keyhole retrosigmoid approach |
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