【摘要】 目的:分析枕下乙状窦后入路切除听神经瘤术后常见并发症及相关因素。方法:对36例听神经瘤患者术后出现的并发症进行回顾性分析。结果:36例听神经瘤全切除28例,次全切除8例。术后出现听力丧失31例,面神经功能障碍18例,后组颅神经损伤4例,脑脊液漏3例,出现脑积水或原有脑积水加重2例,颅内感染1例,颅内出血1例,死亡1例。结论:听神经瘤术后听力丧失和面神经功能障碍发生率高,并发症的发生率与肿瘤的大小、囊性变及术者显微手术熟练程度相关。更多还原

【Abstract】 Objective:To study the postoperative complications and related factors of acoustic neuroma resection via suboccipital retrosigmoid approach.Methods:Thirty-six patients with acoustic neuroma were analyzed retrospectively.Results:Total removal was achieved in 28 cases,while subtotal resection was performed in 8 cases.Hearing loss occurred in 31 cases,and other complications were facial nerve dysfunction in 18 cases,lower cranial nerve injury in 4 cases,cerebrospinal fluid leakage in 3 cases,hydrocephalus or aggravated hydrocephalus in 2 cases,intracranial infection in 1 case,and intracranial bleeding in 1 cases.Only one case died.Conclusion:The high incidence of hearing loss and facial nerve dysfunction was found after acoustic neuroma resection,and the incidence of complications were related to the tumor size,cystic changes,and micro-surgical proficiency.更多还原