神经内镜辅助显微手术切除桥小脑角胆脂瘤.pdfVIP

摘 要 神经内镜辅助显微手术切除桥小脑角胆脂瘤 研究生：巴吐鲁呼 导师：更·党木仁加甫教授 摘 要 目的：探讨神经内镜辅助显微手术切除桥小脑角胆脂瘤的应用价值。方法：本 组共 10 例，均为桥小脑角胆脂瘤，手术采用神经内经辅助显微神经外科手术进行治 疗，在显微镜下切除大部肿瘤后，再用神经内镜进行探查，切除残余肿瘤。结果： 显微镜下手术后应用神经内镜观察，8 例均有肿瘤残留。神经内经辅助下继续行残余 肿瘤切除。全切 9 例，次全切 1 例。术后均未发生无菌性脑膜炎和迟发颅内出血等 并发症。结论：神经内经辅助显微手术切除桥小脑角胆脂瘤，有助于提高肿瘤全切 率，提高手术疗效，降低手术并发症。 关键词：神经内镜；神经内经辅助显微神经外科手术；桥小脑角胆脂瘤 —1— 新疆医科大学医学硕士论文 Neuroendoscopy assisted microneurosurgery for cerebellopontine angle cholesteatoma Postgradeuate:Ba Tuluhu Supervisor:Prof.Dang Muren Abstract Objective: To study the value of neuroendoscopy assisted microneurosurgical technique in the treatment of cerebellopontine angle cholesteatoma. Methods:There are 10 cases in this group, The patients are all cerebellopontine angle cholesteatoma, they were performed operation with neuro-endoscopy assisted microneurosurgery. Resected the turmor with microneurosurgery, then under nuroendoscopy remain of turmors was found out and removed. Results: 8 of 10 cases, residual tumor were found under aneu-roendoscopy after routine microsurgery. Residual tumor were resceted by neuroend-oscopy. Total resected 9 cases, subtotal resected 1case. No aseptic meningitis, delayed intracranical hemorrhage and other complications occurred. Conclusions:The neuroendoscopy assisted microneurosurgery for cerebellopontine angle cholesteatoma can increase the total resection rate for tumors, the technique is helpful to increase the microneurosurgical treatment effect and decrease the operative complications. Key Words: Neuroendoscopy ； Neuroendoscopy assisted microneuros