微血管减压术治疗原发性半面痉挛21例疗效分析
An analysis of clinical efficacy of microvascular decompression for 21 inpatients suffering from primary hemifacial spasm
巩丽娜 1于栋祯 1吴雅琴 1陈正侬 1殷善开1
作者信息
- 1. 上海交通大学医学院附属第六人民医院颅底外科中心(上海,200233);上海交通大学医学院附属第六人民医院耳鼻咽喉头颈外科
- 折叠
摘要
目的:探讨评估面神经微血管减压术治疗原发性半面痉挛的手术疗效.方法:微血管减压术治疗原发性半面痉挛患者21例,随访至术后6个月,根据患者临床症状评定治疗疗效.结果:术后第1天、14天、1个月、3个月、6个月有效率分别为95.2％、100％、100％、100％、100％;术后出现耳鸣者1例,术后第6天耳鸣消失;术后出现术侧面瘫1例(术后第1天,术侧面神经功能Ⅱ级),术后第6天痊愈;随访期间无脑脊液漏、颅内感染、死亡和致残等不良事件发生.结论:微血管减压术是治疗原发性半面痉挛安全、有效的方法,值得临床推广.
Abstract
Objective:To assess the effectiveness of microvascular decompression(MVD)in treating inpatients suffering from primary hemifacial spasm(HFS).Methods:A total of 21 inpatients with HFS underwent MVD.The clinical effect was follow up evaluated according to the clinical symptoms until post operative 6 months.Re-sults:The effective rate of MVD for 1 day,14 days,1 month,3 months and 6 months post-operation was 95.2％,100％,100％,100％and 100％,respectively.one patient had transient tinnitus and the symptom disap-peared within 6 days postoperatively.one patient developed postoperative incomplete facial paralysis(HB grade Ⅳfacial nerve function,grade Ⅱ)and recovered 6 days after surgery;There was no cerebrospinal fluid leakage,in-tracranial infection,death or disability occurred during follow-up.Conclusion:Microvascular decompression is a safe and effective method for the treatment of primary hemifacial spasm,which is worthy of clinical promotion.
关键词
原发性半面痉挛/微血管减压术/责任血管/手术治疗Key words
hemifacial spasm/microvascular decompression/responsible blood vessels/surgical treatment引用本文复制引用
出版年
2024
NETL
NSTL
万方数据