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首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >Trigeminal schwannomas: Experience with 68 cases.
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Trigeminal schwannomas: Experience with 68 cases.

机译：三叉神经鞘瘤：68例经验。

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摘要

Trigeminal schwannomas (TS) are rare. Only a couple of series involving a large number of cases have been reported. In the present study we aimed to analyse the clinical characteristics of TS, the surgical approaches used to treat TS, and the outcomes for patients undergoing surgical treatment for TS via retrospective analysis of departmental records. Data for 68 patients treated for TS in the Department of Neurosurgery at the All India Institute of Medical Sciences between January 1993 and December 2005 were analysed. Most patients were in the fourth decade of life, with the duration of symptoms ranging from 1 month to 13 years. Twenty-nine TSs were classified as type A, 13 as type B and 26 as type C, depending upon size. A skull base approach was used in every surgically treated case. Of the 46 patients for whom radiological follow-up data were available, complete tumour excision was achieved in 35 cases (76%). Follow-up ranged from 3 months to 12 years (mean 62 months). One patient died and nine (15%) had permanent morbidity in the form of corneal opacity (5) or facial (2) or trochlear (2) nerve palsy. We conclude that trigeminal neuromas are best treated by total surgical resection, which yields acceptable results with low rates of mortality and permanent morbidity.
机译：三叉神经鞘瘤（TS）很少见。仅报道了一系列涉及大量案件的系列。在本研究中，我们旨在通过对部门记录的回顾性分析来分析TS的临床特征，用于TS的手术方法以及接受TS手术治疗的患者的结局。分析了1993年1月至2005年12月在全印度医学科学研究所神经外科治疗的68例TS患者的数据。大多数患者处于生命的第四个十年，症状持续时间从1个月到13年不等。根据大小，将29个TS分为A型，13个B型和26个C型。每个手术病例均采用颅底入路。在可获得放射学随访数据的46例患者中，有35例（76％）完全切除了肿瘤。随访时间为3个月至12年（平均62个月）。一名患者死亡，九名患者（15％）以角膜混浊（5）或面部（2）或滑车（2）神经麻痹的形式永久性发病。我们得出的结论是，三叉神经瘤最好通过全手术切除来治疗，这会产生可接受的结果，且死亡率和永久发病率较低。

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