听力保留是现代听神经瘤外科治疗的重点、难点之一。近年来随着神经影像、术中监测及显微外科技术的发展,听力保留技术已取得了较大的进步。本文即就听力保留的概念、适合病例及手术入路的选择、听觉损伤的原因、听功能监测和影响听力保留的因素等进行综述。 Hearing preservation is one of the key and difficult points in the surgical treatment of modern acoustic neuroma. In recent years, with the development of neuroimaging, intraoperative monitoring and microsurgical techniques, the technology of hearing preservation has made great progress. This article reviews the concept of hearing retention, the choice of case and surgical approach, the causes of auditory impairment, the monitoring of hearing function and the factors that affect hearing retention.