面听神经根血管压迫综合征10例报告  

Ten cases report of vascular compressive syndrome caused by the facial,acoustic nerves

作　　者：赵永宏[1] 蔡其刚[1] 翁维[1] 王大川[1] 

机构地区：[1]解放军第477医院耳鼻咽喉头颈外科,湖北襄阳441003

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第7期440-442,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨面听神经根血管压迫综合征的临床特征及治疗方法。方法:对10例拟诊患者,术前均予薄层MRI扫描以便观察面听神经根周围血管走行;采用局部麻醉或全身麻醉下经乙状窦后径路探查面听神经根血管压迫情况,并行面、听神经根微血管减压术治疗。结果:所有患者耳鸣、眩晕、面肌抽搐症状消失;治愈7例,好转2例,术后复发1例,有效率为90%。患者的面神经根部均可见责任血管,其中8例听神经根部同时可见其他责任血管。结论:面听神经根血管压迫综合征的表现为面肌抽搐伴同侧耳鸣和短暂间断眩晕发作;只要诊断准确,采用面听神经根微血管减压术治疗可取得满意疗效。Objective：To search the features and the treatment of vascular compressive syndrome caused by the facial,acoustic nerves.Method：Ten cases of vascular compressive syndrome caused by the facial,acoustic nerves were included in the group,which were treated by microvascular decompression（MVD）.Besides,the microanatomic relationship between the nerve and their adjacent vessel at the root exit zo ne（REZ）were observed under microscope or nasoendoscopy in MVD.Result：Tinnitus,vertigo and facial spasm disappeared after MVD in 7 cases（70%）,improved in 2 cases（20%）,and relapse in 1 case（10%）.All cases were found out vessels compressing at the root zone of the facial nerve and the auditory nerve.Conclusion：The Clinical features of vascular compressive syndrome caused by the facial,acoustic nerves are facial spasm,tinnitus,and vertigo,for which microvascular decompression has a positive therapeutic effect as long as the diagnosis is correct.

关 键 词：脑神经 耳鸣 微血管减压术 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]