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[听神经瘤的诊断与外科治疗]

[Diagnosis and surgical treatment of acoustic neurinomas].

作者信息

Danilewicz B, Czepko R, Godowicz T, Uhl H

机构信息

Z Kliniki Neurochirurgii Collegium Medicum, Uniwersytetu Jagiellońskiego w Krakowie.

出版信息

Przegl Lek. 1996;53(7):549-55.

PMID:8975291
Abstract

The authors present methods of diagnosis and results of surgical treatment of 210 acoustic neurinomas. Almost all patients suffered from large (21.4%) and very large (76.2%) tumours. Results of treatment were assessed depending on the method of surgery (classical and microsurgical), the size of tumour and the method of tumour removal (total or partial). Total tumour removal was achieved in 84.1% of patients operated on by means of microtechnique, and in 72.6% treated with classical method. Very good surgical results were observed in 52.4% and 38.3%, respectively. Difficulties and risk factors in surgery of large acoustic neurinomas were discussed.

摘要

作者介绍了210例听神经瘤的诊断方法及手术治疗结果。几乎所有患者都患有大型(21.4%)和超大型(76.2%)肿瘤。根据手术方法(传统手术和显微手术)、肿瘤大小及肿瘤切除方法(全切或部分切除)对治疗结果进行评估。采用显微技术手术的患者中84.1%实现了肿瘤全切,采用传统方法治疗的患者中这一比例为72.6%。分别有52.4%和38.3%的患者取得了非常好的手术效果。文中讨论了大型听神经瘤手术中的困难及风险因素。

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