听神经瘤显微外科手术后残余肿瘤的定义、 复发时间及其临床意义
Definition, Recurrence Time and Clinical Significance of Residual Tumor after Microsurgery for Vestibular Schwannoma
摘要: 显微外科手术治疗是听神经瘤目前最主要的治疗方式，而放射治疗可作为特定条件下的备选方案或术后补充治疗。随着患者对生活质量要求的不断提高，手术策略逐步转变为在保护患者面、听神经功能的前提下尽可能多地切除肿瘤。然而，对于术后残余肿瘤及接受放射治疗的患者，目前仍缺乏长期随访数据来表明多少大小的残余肿瘤易复发以及接受放射治疗患者的肿瘤进展如何。因此，本文对当前显微外科手术治疗听神经瘤术后肿瘤残余的不同形式、残余量及常见残余位置进行系统综述，以期通过规范的随访研究听神经瘤复发问题，并为肿瘤手术策略提供建议。
Abstract: Microsurgery is the main treatment for vestibular schwannoma, and radiotherapy can be used as an alternative or postoperative supplementary treatment under specific conditions. With the continuous improvement of patients’ requirements for quality of life, the surgical strategy has gradually changed to remove as many tumors as possible on the premise of protecting the facial and auditory nerve function of patients. However, there is still a lack of long-term follow-up data for postoperative residual tumors and patients receiving radiotherapy to show how large and small residual tumors are prone to recurrence and how tumor progression occurs in patients receiving radiotherapy. Therefore, this article systematically reviews the different forms, residual amounts and common residual locations of tumor residues after microsurgical treatment of vestibular schwannoma, in order to study the recurrence of vestibular schwannoma through standardized follow-up, and provide suggestions for tumor surgery strategies.
文章引用：王星宇, 舒月, 李林峰, 石爽, 吴越, 钟东. 听神经瘤显微外科手术后残余肿瘤的定义、 复发时间及其临床意义[J]. 临床医学进展, 2026, 16(2): 1128-1134. https://doi.org/10.12677/acm.2026.162494

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