显微血管减压术对面肌痉挛患者生活质量的影响

Effect of Microvascular Decompression on the Quality of Life in the Patients with Hemifacial Spasm

目的:研究显微血管减压术对面肌痉挛(HFS Hemifacial Spasm)患者生活质量的影响。方法:对2014年至2016年底在哈医大一院神经外科四科接受显微血管减压手术(MVD Mcrovascular Decompression)治疗的40名面肌痉挛患者进行生活质量量表(QOL Quality of Life)评分,对患者的疗效及治疗前后生活质量的变化情况进行统计学分析。结果:治疗后,MVD的明显缓解率为95%,手术前后不同生活质量项目评分的差异具有统计学意义(P<0.05),术前QOL量表评分总值为21.83±2.01,术后总值为2.15±0.8,术后QOL量表评分总值较术前显著降低(P<0.05)。结论:显微血管减压手术对面肌痉挛患者的症状缓解效果显著,同时可以明显改善患者的生活质量,特别是对患者内心窘迫的改善最为明显。

Objective: To investigate the improvement of quality of life in patients with hemifacial spasm(HFS) under microvascular decompression. Methods: A quality of life scale(QOL) was performed on 40 patients with hemifacial spasm treated with microvascular decompression surgery(MVD) in the Department of Neurosurgery, Harbin Medical University, from the beginning of 2014 to the end of 2016. Statistical analysis was performed on the improvement of quality of life. Results: The significant response rate of MVD was 95%. The quality of life questionnaire was statistically significant. The difference between the different scores before and after surgery was statistically significant(P<0.05). The total score of preoperative QOL scale was 21.83±2.01. The total score of postoperative QOL scale was 2.15±0.8. Conclusion: Microvascular decompression surgery has significant relief effect on patients with hemifacial spasm,and can significantly improve the quality of life of patients. The study shows that postoperative improvement in patients with felt embarrassed is most evident.