神经内镜辅助显微血管减压术治疗面肌痉挛的临床研究  

Neuroendoscope-assisted microvascular decompression for the treatment of hemifacial spasm

作　　者：申志才[1] 刘健[1] 陈礼刚 

机构地区：[1]四川省绵阳市人民医院神经外科,四川绵阳621000 [2]泸州医学院附属医院神经外科,四川泸州646000

出　　处：《中国医药导报》2014年第27期62-66,共5页China Medical Herald

摘　　要：目的探讨神经内镜辅助下显微血管减压术（MVD）治疗原发性面肌痉挛（HFS）疾病的价值。方法收集泸州医学院附属医院神经外科2009年3月~2012年4月收治的原发性面肌痉挛患者62例,其中行神经内镜辅助下显微血管减压术的面肌痉挛患者32例（A组）,行传统显微血管减压术的面肌痉挛患者30例（B组）,比较两种治疗方法的手术治愈率、并发症的情况以及术后住院时间。结果责任血管发现：A组32例患者均发现责任血管,B组29例患者发现责任血管;治愈率：A组治愈率为96.9%（31例）,B组治愈率为90.0%（27例）;并发症发生率：A组为15.6%（5例）,B组为26.7%（8例）;住院时间：A组为（8.0±1.3）d,B组为（11.0±2.7）d;上述指标两组比较差异均有统计学意义（P〈0.05）。结论神经内镜辅助MVD治疗HFS能避免遗漏责任血管,减少对脑干、颅神经和重要血管的的牵拉损伤,对提高手术效果、减少术后并发症有重要价值。Objective To explore the value of neuroendoscopy-assisted microvascular decompression （MVD） for the treatment of patients with hemifacial spasm （HFS）. Methods 62 cases of patients with HFS admitted in Department of Neurosurgery, the Affiliated Hospital of Luzhou Medical College from March 2009 to April 2012 were selected. All patients were divided into two groups, group A was given neuroendoseopy-assisted microvascular decompression therapy （n=32） and group B was given conventional microvascular decompression therapy （n=30）. The cure rate, incidence of common complications, and intraoperative hospital stay were compared among the two groups after treatmen. Results 32 patients of group A were all found the offending vessels, 29 patients of group B were found the offending vessels. The cure rate in group A was 96.9% （31 cases）, which was 90.0% （27 cases） in group B, the difference was significant （P 〈 0.05）. The incidence of complications in group A was 15.6% （5 cases）, which was 26.7% （8 cases） in group B, the difference was significant （P 〈 0.05）. The hospital stays was （8.0±1.3） d in group A, which was （11.0 ± 2.7） d in group B, the difference was significant （P 〈 0.05）. Conclusion Neuroendoscopy-assisted microvascular decompression for the treatment of hemifacial spasm can avoid missing responsibility blood vessels, decrease the pull damage to brain stem, cranial nerves and blood vessels, which has important value for improving the effect of surgery and reducing postopera- tive complications

关 键 词：面肌痉挛 显微神经血管减压术 神经内镜 

分 类 号：R741[医药卫生—神经病学与精神病学]