面肌痉挛微血管减压术(MVD)后面瘫的临床分析  

The clinical analysis of facial palsy after microvascular decompression for hemifacial spasm

作　　者：张明[1] 黄志刚[1] 鄢克坤 吴科[1] 李冬华[1] 李密[1] 李海龙[1] 魏剑波[1] 

机构地区：[1]攀枝花市中心医院神经外科,四川攀枝花617067

出　　处：《四川医学》2014年第2期204-206,共3页Sichuan Medical Journal

基　　金：攀枝花市科技发展项目(编号:2012CY-S-22-1)

摘　　要：目的 探讨面肌痉挛微血管减压术（MVD）后面瘫的发病情况、病因、治疗、预后等.方法 回顾性分析我科自2004年1月～2013年7月行MVD治疗面肌痉挛后出现面瘫患者的临床资料,研究面瘫的发生时间、持续时间、预后等情况.结果 197例患者中出现术后即刻面瘫5例,迟发性面瘫7例,经药物等治疗后均治愈.结论 MVD术后面瘫并不少见,预后良好,采取相关措施降低其发生率有助于提高面肌痉挛的治疗效果.Objective To study the epidemiology,etiology,treatment and prognosis of facial palsy after microvascular decompression （MVD） for hemifacial spasm （HFS）. Methods The data of patients suffered from facial palsy after MVD were retrospectively studied within patients of HFS from January 2004 to July 2013, and the occurrence time, duration and prognosis of facial palsy were studied. Results Of 197 patients,5 patients suffered from instant facial palsy after MVD,7 patients developed delayed facial palsy. All the patients with facial palsy could achieve complete recovery with medication and other treatment. Conclusion Facial palsy after MVD for HFS is not rare and good prognosis can be achieved. The measures to lower incidence of facial palsy can contribute to improvement of curative effect of HFS.

关 键 词：面肌痉挛 显微血管减压术 面瘫 

分 类 号：R651.3[医药卫生—外科学]