目的:探讨内听道海绵状血管瘤的诊断和治疗方法。方法:分析1例术后病理确诊为内听道海绵状血管瘤患者的临床表现、听力学、影像学及病理诊断等临床资料,并经扩大迷路进路行肿瘤切除术。结果:术后恢复良好,无面瘫、脑脊液漏等并发症发生,术后病理确诊为内听道海绵状血管瘤。结论:原发于内听道的海绵状血管瘤是一种极为罕见的内听道良性占位性血管性病变,和内听道其他常见的肿瘤如听神经瘤、面神经瘤等在临床表现、听力学及影像学上有许多相似之处,但也有其自身特点,确诊有赖于术后病理检查,结合临床表现和影像学(CT、MRI)特点,可为早期发现、选择合适的治疗方法提供信息。早期手术,其全切率及面、听神经功能的保存率较高。 Objective: To investigate the diagnosis and treatment of internal auditory cavernous hemangiomas. Methods: One case of pathological diagnosis of intracranial cavernous hemangioma was analyzed retrospectively. Clinical data including audiology, radiology and pathology were analyzed. The tumor was excised by enlarging the lost path. Results: Postoperative recovery was good, no facial paralysis, cerebrospinal fluid leakage and other complications occurred, postoperative pathological diagnosis of internal auditory Cavernous hemangioma. CONCLUSIONS: Cavernous hemangioma originating from the internal auditory canal is an extremely rare benign space-occupying vascular disease of the internal auditory canal, and other common tumors of the internal auditory canal, such as acoustic neuroma, facial neuroma, There are many similarities between study and imaging, but also have their own characteristics. Diagnosis depends on the postoperative pathological examination, combined with clinical manifestations and imaging (CT, MRI) features, for the early detection and selection of appropriate treatment methods to provide information . Early surgery, the full cut rate and surface, higher preservation rate of auditory nerve function.