微血管减压术治疗脑神经血管压迫综合征

Treament of vascular compression syndrome of the cranial nerves with microvascular decompression

目的总结微血管减压术治疗脑神经血管压迫综合征的临床效果。方法采用微血管减压术治疗脑神经血管压迫综合征患者61例。其中,三叉神经痛40例,舌咽神经痛3例,面肌痉挛18例。随访5-22个月。对临床资料进行回顾性分析。结果三叉神经痛患者手术有效率为95%,舌咽神经痛手术有效率100%,面肌痉挛患者为94.5%。术后发生轻度不良反应者9例(15.5%);发生较重并发症1例(1.7%),无死亡病例。结论微血管减压术治疗因血管压迫导致的相关脑神经疾病疗效确切,不良反应少。

Objective To summarize the clinical outcomes of treating vascular compression syndrome of the cranial nerves with microvascular decompression （MVD）. Methods Sixtyone patients with cranial never hyperactive dysfunctions underwent MVD, of whom 40 cases had trigeminal neuralgia,3 cases had glossopharyngeal neuralgia and 18 cases had hemifacial spasm. The patients were followed up for 5 to 22 months. The clinical data were retrospectively analyzed. Results The effectiveness rates were 95% for trigeminal neuralgia, 100% for glossopharyngeal neuralgia and 94.5% for hem/facial spasm, respectively. A mild adverse reaction occurred in 9 （15.5%） patients, severe complication in 1 （1.7%） patient after surgery. No one died from the operation. Conclusion The microvascular decompression is definitely effective in treating vascular compression syndrome of the cranial nerves.