摘要
目的探讨微血管减压术治疗面肌痉挛的临床疗效。方法2017年12月至2018年11月期间本院神经外科收治的面肌痉挛患者88例,均采用微血管减压术治疗,术中采用脑干听觉诱发电位监测。术后随访1年,统计临床疗效及不良反应发生情况。结果88例患者中,49例(56.0%)即刻治愈;32例(36.0%)延迟愈合;4例(5%)未愈;3例(3%)复发;本组总有效率为92.05%(81/88)。术后并发症发生率为11.36%(10/88)。结论微血管减压术治疗面肌痉挛的临床疗效确切。术中应注意小脑保护、责任血管的成功判断、减压材料的大小与放置方式,同时严密缝合硬膜。
Objective To explore the clinical effect of microvascular decompression in the treatment of hemifacial spasm.Methods This study included 88 patients with hemifacial spasm who were treated with microvascular decompression at the department of neurosurgery of our hospital.Brainstem auditory evoked potential was used for intraoperative monitoring.Postoperative follow-up was conducted for 1 year to analyze clinical efficacy and adverse reactions.Results Of all patients,49(56.0%)were cured immediately,32(36.0%)had delayed resolution,4(5%)were not cured,and 3(3%)relapsed.The overall response rate was 92.05%(81/88).The incidence of postoperative complications was 11.36%(10/88).Conclusions Microvascular decompression is effective in the treatment of hemifacial spasm.During the operation,attention should be paid to cerebellar protection,successful judgment of offending vessels,and size and placement of decompression materials.The dura mater should be closely sutured after surgery.
作者
符星
杨治权
向鹏
樊天禹
傅迎旭
尹江柳
张帅
FU Xing;YANG Zhi-Quan;XIANG Peng;FAN Tian-Yu;FU Ying-Xu;YIN Jiang-Liu;ZHANG Shuai(Department of Neurosurgery,Changsha central hospital,University of South China,Changsha,China,410000;Department of Neurosurgery,Xiangya Hospital,Central South University,Changsha,China,410008)
出处
《国际神经病学神经外科学杂志》
2019年第6期654-656,共3页
Journal of International Neurology and Neurosurgery
关键词
面肌痉挛
微血管减压术
临床疗效
Hemifacial spasm
Microvascular decompression
Clinical effect
