颈静脉球瘤治疗以手术切除为主 ,但风险较大手术相当困难[1-3 ] ,术中大量出血、脑神经损伤等都是手术难题。本院收治 4例经病理确诊的颈静脉鼓室副神经节瘤 ,成功地进行了保护脑神经 (ＩＸ、Ｘ、ＸＩ、ＸＩＩ)的经颈乳突入路肿瘤切除术 ,现报道如下。1　材料和方法1 1　临床 Treatment of jugular bulb tumors is mainly performed by surgical resection, but it is quite difficult to perform the surgery with relatively high risk [1-3]. A large number of intraoperative hemorrhages and cerebral nerve injuries are all surgical problems. In this hospital, 4 cases of jugular venous paraganglioma confirmed by pathology were treated successfully. The transcervical approach to protect the cranial nerve (IX, X, XI, and XII) was successfully performed. The report is as follows. 1 Materials and Methods 1 1 Clinical