摘要
目的:总结微血管减压术(MVD)治疗面肌痉挛的临床手术经验。方法:回顾性分析2004年12月至2010年2月经枕下乙状窦后入路面神经MVD(内窥镜辅助下显微手术)治疗面肌痉挛患者共258例。结果:手术有效256例(99.2%),其中治愈251例(97.3%),部分治愈5例(1.9%)。小脑前下动脉为相关责任血管占58.9%。术后并发症共28例(10.8%),其中,听力障碍13例,面瘫8例,耳鸣3例,复视1例,吞咽障碍1例,脑脊液漏2例。结论:MVD治疗面肌痉挛的疗效确切满意。内窥镜可显著提高手术的精确性,并减少手术并发症。
Aim：To summarize the clinical experience in the treatment of hemifacial spasm （HFS） with microvascular decompression （MVD）. Methods：A retrospective study was performed by using the patient samples in 258 cases from 2004 to 2010. Suboccipital retrosegmoid approach was used in microsurgery and assisted by endoscope. Results：MVD was effective in 256 cases（99.2%） with no surgical death or major deficit. The excellent and good were 251（97.3%） and 5 （1.9%）,respectively. The majority （58.9%） of affecting vessels was anterior interior cerebellar artery （AICA）. Neurological complications were 28 cases（10.9%）,which were hearing deficit（n=13）,facial weakness（n=8）,tinnitus（n=3）,diplopia（n=1）,deglutiton weakness（n=1）,cerebrospinal leaking（n=2）. Conclusion：MVD of the facial nerve is an effective and reliable treatment for HFS. Meanwhile,using of endoscopic vascular decompression is a safe and equally effective procedure,which can increase operative accuracy and decrease operative side-effect.
出处
《中国临床神经科学》
2011年第1期27-31,共5页
Chinese Journal of Clinical Neurosciences
基金
复旦大学附属中山医院青年基金资助(编号:科补216号)
关键词
微血管减压术
面肌痉挛
显微手术
内窥镜
microvascular decompression
hemifacial spasm
microsurgery
endoscope
