期刊文献+

微血管减压术治疗椎动脉复合体为责任血管的面肌痉挛的手术疗效分析 被引量:3

Clinical analysis of microvascular decompression for hemifacial spasm associated with the vertebralartery complex
原文传递
导出
摘要 目的探讨微血管减压术(MVD)治疗柞动脉复合体为责任血管的面肌痉挛(HFS)的效果。方法回顾性分析2014年5月-2016年8月航空总医院收治的1033例HFS患者资料,根据责任血管情况,分为椎动脉复合体组(208例)与非椎动脉复合体组(825例),共随访12~28个月,比较两组进行MVD的效果。结果两组患者年龄差异无统计学意义,但椎动脉复合体组男性比例更高(54.3%比20.5%),更易多发在左侧(81.7%比51.O%),差异有统计学意义(P〈0.01)。椎动脉复合体组MVD手术效果满意率为95.1%(198/208),失败率为1.9%(4/208),与非椎动脉复合体组(94.9%、1.2%)比较差异无统计学意义;两组患者的短期和长期并发症差异亦无统计学意义(p〉0.05)。结论在手术治愈率和并发症方面,柞动脉复合体组与非椎动脉复合体组行MVD的结果相似。MVD可以作为治疗椎动脉复合体压迫类型的HFS的安全且有效方法。 Objective To investigate the effect of microvascular decompression (MVD) on the treatment of hemifacial spasm (HFS) associated with the vertebral artery complex. Methods We retrospectively analyzed the data of I 033 patients with HFS admitted to the General Aviation Hospital from May 2014 to August 2016. According to the responsibility vascular, the patients were divided into vertebral artery complex group (208 cases) and non-vertebral artery complex group (825 cases). Patients were followed up for 12 to 28 months. The effect of MVD was compared between the two groups. Results The difference in age between the two groups was not statistically significant, but the proportion of males in the vertebral artery complex group was higher (54.3% vs 20.5%) and more frequent on the left side (81.7% vs 51.0%). The difference was statistically significant (P 〈 0.01 ). The satisfaction rate of MVD in vertebral artery complex group was 95.1% (198/208), and the failure rate was 1.9% (4/208). There was no significant difference between the vertebral artery complex group and non-vertebral artery complex group (94.9%, 1.2%). There was no significant difference in short-term and long-term complications between the two groups (P 〉 0.05). Conclusions In terms of surgical cure rate and complications, the MVD results are similar between the vertebral artery complex group and the non-vertebral artery complex group. The MVD can be used as one safe and effective method for treating compression type of vertebral artery complex HFS.
作者 焦永辉 王晓松 王林 肖庆 郑佳平 孙基栋 郭宇鹏 黄乙洋 王宁 陈国强 Jiao Yonghui;Wang Xiaosong;Wang Lin;Xiao Qing;Zheng fiaping;Sun Jidong;Guo Yupeng;Huang Yiyang;Wang Ning;Chen Guoqiang(Neurosurgery Department, Aviation General Hospital, Beijing 100012, China)
出处 《神经疾病与精神卫生》 2018年第4期272-275,共4页 Journal of Neuroscience and Mental Health
关键词 面肌痉挛 微血管减压术 椎动脉复合体 Hemifacial spasm Microvascular decompression Vertebral artery complex
  • 相关文献

参考文献1

共引文献8

同被引文献15

引证文献3

二级引证文献12

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部