微血管减压治疗偏侧面肌痉挛的临床观察  

The Clinical Observation of Microvascular Decompression for Hemifacial Spasm

作　　者：罗衡山[1,2] 张勇[1,2] 林劲芝[1,2] 

机构地区：[1]南华大学教学医院 [2]广东省第二人民医院神经外科,广东广州510317

出　　处：《南华大学学报（医学版）》2010年第2期261-262,275,共3页Journal of Nanhua University(Medical Edition)

摘　　要：目的探讨微血管减压术（MVD）治疗偏侧面肌痉挛（HFS）的临床疗效和手术方法。方法回顾性分析2006年6月-2009年9月于本院进行MVD治疗的偏侧面肌痉挛患者52例，对其手术方法、疗效进行总结。结果52例HFS患者中术后痉挛即刻消失者37例（71．15％），术后2～4周后痉挛消失者11例（21．15％）；2例（3．85％）症状减轻，口服药物可以控制，并在手术3个月后逐步停药；1例复发（1．92％）；1例经过12个月随访症状无缓解，判定为无效（1．92％）；手术有效率为98．08％（51／52）。结论微血管减压术治疗偏面肌痉挛手术疗效满意。Objective To investigate the clinical efficacy and surgical method of microvascular decompression for hemifacial spasm. Methods We retrospectively analyzed the files of 52 patients with hemifacial spasm（HFS） , who were treated with MVD in our hospital from June 2006 to September 2009, and summarized the surgical skills and clinical efficacy. Result The spasticity immediately disappeared after the surgery in 37 of 52 HFS patients （71.15%） , the spastieity disappeared in 2 -4 weeks after the surgery in ll cases （＇）1.15%） ; the symptoms were relieved in 2 cases（3.85% ） , and the symptoms could be controlled by oral drugs which would be phased out gradually in 3 months after surgery; there was recurrence in one ease（3.85% ） ; and in one case there was no relief after 12 months followup survey,determined to be invalid （ 1.92% ）. The success rate of MVD was 98.08% （51/52）. Conclusion The efficacy of Mierovascular decompression surgery treatment of hemifacial spasm was satisfactory.

关 键 词：微血管减压术 偏侧面肌痉挛 疗效 

分 类 号：R745.12[医药卫生—神经病学与精神病学]