摘要
目的:探讨显微血管减压术治疗面肌痉挛的手术方法及效果。方法:回顾性分析了47例行显微血管减压术治疗的面肌痉挛病人的临床资料,观察分析其术前影像学资料,术中所见及术后并发症等情况。结果:47例患者中,术中证实压迫血管分别为SCA8例,PICA11例,AICA24例,VA2例,AICA及VA共同压迫2例。术后症状即消失38例,一周内消失1例,2个月内消失8例。术后发生面瘫者6例,其中3例为迟发性。听力减退者3例。结论:显微血管减压术是治疗面肌痉挛的有效方法,对责任血管的判定有助于提高手术效果。
Objective:To analyze the clinical and surgical results of microvascular decompression(MVD) treatment in patients with hemifacial spasm(HFS). Methods:Forty-seven cases of HFS underwent MVD were analyzed retrospectively.Results:Forty-seven cases( male 18, female 29) of HFS which neurovascular compression were identified during operation: 8 cases with SCA, 11 cases with PICA, 24 cases with AICA, 2 cases with BA, 2 cases with VA and AICA. HFS disappeared immediately after MVD in 38 cases and 1 case disappeared within 1 week and 8 cases disappeared within 2 months. postoperative complications included: facial palsy in 6 cases, decreased hearing ability in 3 cases. Conclusion:MVD is an effective treatment for HFS. Correct identification of the affected vessel can increase the operative efficacy.
作者
郭亚洲
王凡
刘德中
刘霄
李锴
王长伟
Guo Yazhou, et al(Department of Neurosurgery, Zhoukou Central Hospital,Zhoukou Henan 466000)
出处
《黑龙江医药》
CAS
2018年第2期414-416,共3页
Heilongjiang Medicine journal
关键词
面肌痉挛
显微血管减压术
面瘫
Hemifacial spasm
Microvascular decompression
Facial paralysis