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題名 | 優耳聽神經瘤--病例報告=Acoustic Neuroma in Only Hearing Ear--Case Report |
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作者 | 黃威雄; 林凱南; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 33:4 1998.08[民87.08] |
頁次 | 頁87-91 |
分類號 | 416.81 |
關鍵詞 | 聽神經瘤; 觀察等待; Acoustic neuroma; Watchful waiting; |
語文 | 中文(Chinese) |
中文摘要 | 聽神經瘤的處理,主要是以外科手術切除,但是當病人有嚴重內科疾病、 高齡者、瘤長在唯一聽耳、對側耳有嚴重聽力損失之虞或病耳的聽力佳而腫瘤也很小時,不 予以處理反而是最好的處理。在此報告 --69 歲女性,罹患右側之聽神經瘤,追蹤數年期間 病人聽力時有起伏, 並以核磁共振攝影檢查 (MRI) 監看其大小,該聽神經瘤之體積生長速 度為每年 0.083cm �纂A最長徑之生長速率為每年 0.317cm。 由於發現腫瘤生長速率加快, 並且長出內聽道之外,於是進行切除手術。 |
英文摘要 | Surgical resection is the mainstay in treating acoustic neuroma. But under some conditions no treatment is good treatment. These include patients with severe underlying disease that may significantly increase the risk of operation, the elder, tumors in the only hearing ear, contra-lateral ear at risk of severe hearing loss, and smal tumors with good hearing loss, and small tumors with good hearing. We reported a case who was a 69 years old lady. She was found to have acoustic neuroma on right side in October 1994. During the period of follow-up, the hearing level fluctuated and MRI was used to monitor tumor growth. The volume growth rate calculated in this patient was 0.083cm �� per year and the maximal diameter growth rate 0.317cm per year. Since MRI revealed enlargement of the tuor size up to 1.5cm and acceleration of tumor growth, she undertook operation in this August. We removed the tumor via transmastoid translabyrinthine approach. |
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