中小型前庭神经鞘瘤治疗方式选择的原则和依据

doi:10.3877/cma.j.issn.2095-123X.2024.01.001

中小型前庭神经鞘瘤（VS）有多种治疗策略，包括显微外科手术（MS）、立体定向放射外科治疗（SRS）和随访观察（CT），其在肿瘤控制和面神经功能方面的结果相似，在疾病控制和并发症方面提供了良好的效果，主要区别在于对听力的保护。目前关于中小型VS最佳的治疗方法仍存在争议，尤其是对听力正常的年轻患者治疗的必要性和听力保护的最佳时机也存有争议，临床上需在个体化地、合理的选择治疗模式。本文对中小型VS的3种治疗模式的优缺点进行总结分析，旨在实现长期功能保存和提高患者的生活质量。

关键词: 中小型前庭神经鞘瘤, 显微外科手术, 立体定向放射外科治疗, 随访观察, 听力保护

There are various treatment strategies for small and medium-sized vestibular schwannoma (VS), including microsurgery (MS), stereotactic radiosurgery surgery (SRS), and conservative treatment (CT). The three treatment plans have similar results in tumor control and facial nerve function, providing good results in disease control and complications, with the main difference being the protection of hearing. At present, the optimal treatment method for small and medium-sized VS is still controversial, especially for young patients with normal hearing, the necessity of treatment, and the optimal timing for hearing protection. In clinical practice, it is necessary to choose the treatment mode individually and reasonably. This article summarizes and analyzes the advantages and disadvantages of three treatment modes, aiming to achieve long-term functional preservation and improve the quality of life of patients.

Key words: Small and medium-sized vestibular schwannoma, Microsurgery, Stereotactic radiosurgery treatment, Conservative treatment, Hearing protection

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Principles and basis for selecting treatment methods for small and medium-sized vestibular schwannoma

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Principles and basis for selecting treatment methods for small and medium-sized vestibular schwannoma