Jørgensen B G, Pedersen C B
ENT Department, Aarhus University Hospital, Denmark.
Clin Otolaryngol Allied Sci. 1994 Dec;19(6):478-84. doi: 10.1111/j.1365-2273.1994.tb01273.x.
This study assesses the outcome in 78 patients who had been diagnosed with acoustic neuroma over a period of 13 years. Forty-six patients were treated with translabyrinthine surgery, 13 with suboccipital surgery and/or ventricular drainage, and 19 patients (20 neuromas) were kept under observation. Of the 59 patients who had surgery, four died, 30 had problems with eating, drinking and balance, 17 had severe facial palsy, 21 discontinued their work after the operation and 30 had psychological problems. Twenty neuromas have not been operated upon and the patients have not deteriorated medically or socially. It is concluded that acoustic neuroma is a serious disease and that a conservative policy (wait and scan) is preferable in elderly patients.
本研究评估了78例在13年期间被诊断为听神经瘤的患者的治疗结果。46例患者接受了经迷路手术，13例接受了枕下手术和/或脑室引流，19例患者（20个神经瘤）接受观察。在接受手术的59例患者中，4例死亡，30例存在饮食和平衡问题，17例有严重面瘫，21例术后停止工作，30例有心理问题。20个神经瘤未接受手术，患者在医学和社会层面均未恶化。结论是，听神经瘤是一种严重疾病，对于老年患者，保守策略（等待并进行扫描）更为可取。
