显微血管减压术治疗原发性面肌痉挛的疗效观察

Efficacy observation of microvascular decompression treating primary facial spasm

目的探讨显微血管减压术与传统手术治疗原发性面肌神经痉挛的临床效果与安全性。方法选取2013—2014年在我院治疗的原发性面肌痉挛患者82例,随机均分为观察组与对照组,分别行显微血管减压术与传统神经切断手术。结果治疗后观察组显效率与总有效率均明显高于对照组,术后并发症明显低于对照组,差异均有统计学意义(P<0.05),术后2a复发率显著低于对照组(P<0.05)。结论显微血管减压术治疗原发性面肌痉挛与传统手术比较,临床效果更显著,安全性更高,可有效控制疾病复发率,具有较高的推广价值。

Objective To observe the clinical efficacy and safety of microvascular decompression versus traditional operation for the treatment of primary facial spasm. Methods Totally 82 eases with primary facial spasm treated in our hospital from 2013 to 2014 were selected and were randomly divided into study group and control group, which separately received microvascular decompression and traditional nerve amputation. Results The significant efficiency rate and the total effective rate of the observation group were evidently higher than those of the control group after treatment（P〈0.05）. And the postoperative complications of the observation group were evidently lower than those of the control group（P〈0. 05）. And the observation group had lower recurrence rate compared with the control group two years after operation（P〈0.05）. Conclusion Compared with traditional operation, microvascular decompression not only has better clinical effect and higher safety, but also can effective control the recurrence of diseases in the treatment of primary facial spasm, which has higher value of promotion and application.