论文部分内容阅读
目的探讨桥小脑角区胆脂瘤的诊断、治疗及疗效。方法回顾性总结22例桥小脑角胆脂瘤的诊治及疗效。结果行CT或(和)MRI确诊后手术治疗,16例桥小脑角胆脂瘤得以全切,6例囊壁次全切,术后所有三叉神经痛及面肌痉挛完全消失,听力障碍明显好转。跟踪随访,1年后1例三叉神经痛复发。结论桥小脑角区胆脂瘤多以三叉神经为首发症状,CT,MRI可提供诊断依据,手术治疗可使大部分患者痊愈。
Objective To investigate the diagnosis, treatment and efficacy of cerebellopontine angle cholesteatoma. Methods The diagnosis and treatment of 22 cases of cerebellopontine cholesteatoma were retrospectively reviewed. Results After CT or (and) MRI diagnosis and treatment, 16 cases of cerebellopontine cholesteatoma were completely excised and 6 cases of subtotal wall resection. All trigeminal neuralgia and hemifacial spasm disappeared completely after operation, and hearing impairment was obviously improved . Follow-up, 1 year after the recurrence of trigeminal neuralgia. Conclusions The cerebellopontine angle cholesteatoma mostly takes the trigeminal nerve as the first symptom. CT and MRI can provide the diagnosis basis, and the majority of patients can be cured by surgery.