面肌痉挛微血管减压术的切口改良及疗效分析  

The curative effect's analysis of the incision improvement of microvasular decompression for hemifacial Spasm

作　　者：倪红斌[1] 金伟[1] 王晶[1,2] 孔杰[1,3] 梁维邦[1] 

机构地区：[1]南京大学医学院附属鼓楼医院神经外科,南京210008 [2]东南大学临床医学院 [3]南京大学临床医学院

出　　处：《立体定向和功能性神经外科杂志》2012年第1期42-44,共3页Chinese Journal of Stereotactic and Functional Neurosurgery

摘　　要：目的讨切口改良对减少面肌痉挛微血管减压手术的术后并发症的意义。方法自2004年1月至2011年4月采用微血管减压手术治疗面肌痉挛患者723例,其中2009年8月以前518例患者采用传统乙状窦后入路,2009年8月以后205例患者采用改良乙状窦后入路。比较不同手术入路并发症的发生率差异,并统计学分析。结果 2009年8月以前518例患者采用传统乙状窦后入路,其中出现10例脑脊液漏,脑脊液漏修发生率0.02%,2009年8月以后205例患者采用改良乙状窦后入路,未发生一例脑脊液漏。改良组并发症发生率低,且两组手术入路并发症的发生率差异有统计学意义(P<0.05)。结论对于实施微血管减压术的面积痉挛患者,采取改良乙状窦后入路,可减少并发症的发生率。Objective To investigate the significance of the modified retrosigmoid approach to reduce the complications of microvascular decomp ression（MVD） for hemifacial spasm（HFS）.Methods Totally 723 cases of HFS underwent MVD in our hospital from January 2004 to April 2011.Among the cases,518 patients were treated with traditional retrosigmoid approach before August 2009,otherwise 205 patients were treated with modified retrosigmoid approach after Auguse 2009.To compare the differences of the two different sugical complication rate,and do statistical analysis.Results 518 cases treated with traditional retrosigmoid approach before August 2009,in which there were 10 cases of cerebrospinal fluid leak.The incidence of the cerebrospinal fluid leak was 0.02%.Othewise,there was no one case of cerebrospinal leak in the modified group.The modified group had low complication rate,and the two surgical complication rates were statistically different（P0.05）.Conclusion For the patients of the microvascular decompression for hemifacial spasm,the implementation of modified retrosigmoid approach can reduce the incidence of the complications.

关 键 词：并发症 面肌痉挛 微血管减压术 

分 类 号：R745.12[医药卫生—神经病学与精神病学]