首页|神经内镜及电生理监测下微血管减压术治疗面肌痉挛疗效研究

神经内镜及电生理监测下微血管减压术治疗面肌痉挛疗效研究

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目的:探讨神经内镜及电生理监测下微血管减压术治疗面肌痉挛的疗效.方法:选取2020年3月~2022年1月本院84例面肌痉挛患者,依据简单随机数字表法分为观察组与对照组,各42例.对照组采取电生理监测下微血管减压术,观察组采取神经内镜辅助及电生理监测下微血管减压术.统计两组治疗效果、并发症发生率、手术前后生活质量、疾病复发率.结果:观察组总有效率(97.61%)高于对照组(92.85%),但无显著差异(P>0.05);观察组并发症发生率(2.38%)低于对照组(9.52%)(P<0.05);术后两组偏侧面肌痉挛评估表(HFS-8)较术前降低,且观察组低于对照组(P<0.05);观察组术后6个月随访期间疾病复发率(0)低于对照组(4.76%),但无显著差异(P>0.05).结论:神经内镜联合电生理监测下微血管减压术治疗面肌痉挛可提升疾病治疗效果,减少并发症,可在一定程度上降低疾病复发率,利于改善患者生活质量.
Study on the Therapeutic Effect of Microvascular Decompression Under Neuroendoscope and Electrophysiological Monitoring on Hemifacial Spasm
Objective:To investigate the efficacy of microvascular decompression under neuroendoscope and electrophysiological monitoring in the treatment of facial spasm.Methods:From March 2020 to January 2022,84 patients with facial spasm in our hospital were selected and divided into observation group and control group according to simple random number table,42 patients in each group.The control group was treated with microvascular decompression under electrophysiological monitoring,while the observation group was treated with neuroendoscope assisted microvascular decompression under electrophysiological monitoring.The treatment effect,complication rate,quality of life before and after operation,and disease recurrence rate of the two groups were statistically analyzed.Results:The total effective rate of the observation group(97.61%)was higher than that of the control group(92.85%)(P<0.05);The incidence of complications in the observation group(2.38%)was lower than that in the control group(9.52%)(P<0.05);HFS-8 in the two groups after operation was lower than that before operation,and that in the observation group was lower than that in the control group(P<0.05);The disease recurrence rate in the observation group 0)was lower than that in the control group(4.76%),but there was no significant difference(P>0.05).Conclusion:Microvascular decompression combined with neuroendoscope and electrophysiological monitoring can improve the therapeutic effect of hemifacial spasm,reduce complications,reduce the recurrence rate of disease to a certain extent,and improve the quality of life of patients.

facial spasmneuroendoscopeelectrophysiological monitoringmicrovascular decompression

骆飞、杨瑞金、黄观林、曾海兰

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南方医院赣州医院,赣州市人民医院神经外科(江西 赣州 341000)

面肌痉挛 神经内镜 电生理监测 微血管减压术

江西省卫生健康委科技项目

SKJP420202990

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(5)
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