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目的探讨45例桥小脑角脑膜瘤的手术治疗体会。方法回顾性分析我们自1988年 10月至2003年3月间手术治疗的45例桥小脑角脑膜瘤。结果肿瘤全切12例,近全切22例,部分切除11例,死亡3例。术后γ刀33例。40例随访3个月-15年,34例恢复良好,6例死亡。结论选择适当的手术入路,术中行面、听神经监测,并妥善处理和保护血管、神经、脑干等,术后正确处理并发症,配合其他辅助治疗,是提高手术疗效和患并术后生活质量的关键。
Objective To investigate the surgical treatment of 45 cases of cerebellopontine angle meningioma. Methods We retrospectively analyzed 45 patients with cerebellopontine angle meningioma surgically treated between October 1988 and March 2003. Results Totally resection of tumor in 12 cases, nearly 22 cases of complete resection, partial resection in 11 cases, 3 cases of death. Gamma knife in 33 cases. Forty patients were followed up for 3 months to 15 years. 34 patients recovered well and 6 patients died. Conclusion The appropriate surgical approach, intraoperative surface, auditory nerve monitoring, and proper treatment and protection of blood vessels, nerves, brain stem and so on, the correct treatment of postoperative complications, with other adjuvant therapy is to improve the surgical efficacy and suffering from postoperative life The key to quality.