复发性面肌痉挛神经内镜下再手术治疗的症状转归  

Clinical effect of endoscope-assisted surgery on recurrent facial spasm(report of 19 cases)

作　　者：蓝胜勇[1] 肖泉[1] 徐鹏[1] 

机构地区：[1]广西壮族自治区人民医院神经外科,530021

出　　处：《中国临床神经外科杂志》2013年第7期405-406,410,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的总结复发性面肌痉挛单纯神经内镜下再手术治疗的效果。方法对19例曾行显微镜下微血管减压术治疗有效6个月以上又复发的病人,神经内镜下再行面神经手术减压术。结果15例术后症状即消失;3例术后痉挛症状减轻,其中2例两周后消失,1例2个月后消失;1例术后症状无改善。17例获得随访,时间6～24个月,平均14个月,无复发病例。结论神经内镜下再手术是治疗复发性面肌痉挛的安全、有效的方法。Objective To explore the clinical effect of endoscope-assisted surgery on recurrent facial spasm. Methods The facial spasm recurred 6 months after the microvascular decompression under the operating microscope in 19 patients, of whom, 17 received endoscope-assisted microvascular decompression through retrosigmoid keyhole approach once again and 2 received endoscope-assisted neurolysis. The three dimensional time of flight magnetic resonance angiography was performed in all the patients before the reoperation. Results The blood vessels responsible for the facial spasm were intraoperatively found in 17 patients. The facial nerves adhesions to the scar around them were found in 2 patients. The spasmodic symptom disappeared in 15 patients, was relieved in 3 and was unchanged in 1 immediately after the reoperation. The spasmodic symptom disappeared 2 weeks after the reoperation in 2 and 1 month after the reoperation in 1 of 3 patients in whom the symptom was relieved immediately after the reoperation. Seventeen patients were followed up from 6 to 24 months （mean, 14 months） and the outcomes showed that no patient had a relapse. Conclusion The endoscope-assisted surgery is a safe and effective method to treat the recurrent facial spasm.

关 键 词：复发性面肌痉挛 神经内镜 手术 治疗效果 

分 类 号：R745.12[医药卫生—神经病学与精神病学]