面神经显微血管减压术中困难减压的处理措施及其效果
Treatment measures of difficult decompression during facial nerve microvascular decom-pression and its effect
钟建卫 1李煜环 1黄瑞景 1孙永锋 1石磊 1王涛1
作者信息
- 1. 100027,武警北京总队医院军事医学与特种学科
- 折叠
摘要
目的 探讨面神经显微血管减压手术中困难减压的处理措施及其效果.方法 回顾性分析 2019-01 至 2023-10 在武警北京总队医院行面神经显微血管减压术中 31 例困难减压患者的临床资料,对于术中脑膨出、蛛网膜严重粘连、复杂责任血管等困难减压类型,进行针对性处理并观察其手术效果.结果 本组 20 例(66.66%)面肌痉挛症状完全消失,属于完全缓解;7 例(22.58%)仍有程度不同的面肌痉挛症状,属于部分缓解;4 例(13.33%)症状无变化.随访6 个月后,3 例仍存在轻度的面部抽动,较术前明显缓解,总体治愈率为 90.33%.结论 对于面神经显微血管减压术出现困难减压的情况,可以通过术前细致的评估、术中灵活多样的困难减压应对处理措施,同样可以获得较好的手术疗效.
Abstract
Objective To investigate the treatment measures of difficult decompression in facial nerve microvascular decom-pression and its effect.Methods The clinical data of 31 patients with difficult decompression who underwent facial nerve microvascular decompression in Beijing Municipal Corps Hospital of Chinese People's Armed Police Force from January 2019 to October 2023 were retrospectively analyzed.The types of difficult decompression such as intraoperative encephalocele,severe arachnoid adhesions and complex responsible blood vessels,were targeted and the surgical effects were observed.Results The symptoms of hemifacial spasm disappeared completely in 20 patients(66.66%),which was a complete remission.Seven patients(22.58%)still had facial spasm symptoms of varying degrees,which were partially relieved.Four cases(13.33%)had no change in symptoms.After 6 months of fol-low-up,3 patients still had mild facial tics,which was significantly relieved than before surgery,and the overall cure rate was 90.33%.Conclusions In the case of difficult decompression during facial nerve microvascular decompression,a good surgical effect can be obtained through careful preoperative evaluation and flexible and diverse intraoperative difficult decompression measures.
关键词
面肌痉挛/显微血管减压/困难减压/处理措施Key words
hemifacial spasm/microvascular decompression/difficult decompression/treatment measure引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据