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神经内镜辅助显微手术治疗桥小脑角胆脂瘤
陈晨张作慧苗发安范月超
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摘要:
目的 探讨神经内镜辅助下的显微手术在治疗桥小脑角胆脂瘤中的临床意义。方法 在 神经内镜辅助下应用显微神经外科技术治疗桥小脑角胆脂瘤23例。在显微镜视野下最大限度切除肿瘤, 再在神经内镜下观察并切除残余肿瘤。结果 显微镜下切除肿瘤后,仍有 18 例通过神经内镜发现肿瘤 残留,内镜下进一步彻底切除肿瘤。术后 1 个月内有 18 例原有症状消失,2 例面瘫和 1 例复视患者症状 减轻,1例术前无症状患者术后1周出现迟发性面瘫,经治疗在术后1个月随访时恢复正常。结论 神经 内镜辅助显微手术切除桥小脑角胆脂瘤,可以防止肿瘤残留,减少并发症,保护神经功能。
关键词:  胆脂瘤  显微神经外科手术  内窥镜  桥小脑角
DOI:10.3969/j.issn.1009-6574.2019.10.003
基金项目:
Neuroendoscope-assisted microsurgical resection of epidermoid cyst of the cerebellopontine angle
Chen Chen, Zhang Zuohui, Miao Faan, Fan YuechaoChen Chen, Zhang Zuohui, Miao Faan, Fan Yuechao
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Abstract:
Objective To study the significance of neuroendoscope-assisted microsurgery in the treatment of epidermoid cyst of cerebellopontine angle. Methods A total of 23 patients with epidermoid cyst of cerebellopontine angle were treated by neuroendoscope-assisted microsurgery. Tumor was gross-total resected under the microscope, and the residual tumor was removed by neuroendoscopy. Results After microscopic resection of the tumor, 18 cases were still found to have residual tumor through neuroendoscopy, and the tumor was further completely removed under endoscopy. Within a month after the operation, 18 cases of original symptoms disappeared, two cases of facial paralysis and one case of diplopia were relieved. One patient presented with delayed facial paralysis in one week after operation, and the patient recovered after a month of follow-up. Conclusions Endoscopic microsurgical resection of epidermoid cyst of cerebellopontine angle can prevent tumor residue, reduce complications and protect nerve function.
Key words:  Cholesteatoma  Microneurosurgery  Endoscopes  Cerebellopontine angle

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