显微血管减压术治疗三叉神经痛和面肌痉挛的疗效观察  

Efficacy of microvascular decompression for treating trigeminal neuralgia and hemifacial spasm

作　　者：李涛[1] 程亚鹏[1] 刘跃亭[1] 

机构地区：[1]山西医科大学第一医院神经外科,太原030001

出　　处：《中华全科医师杂志》2017年第3期227-229,共3页Chinese Journal of General Practitioners

摘　　要：采用显微血管减压术对我院2012-2015年99例三叉神经痛（59例）和面肌痉挛（40例）患者进行手术治疗，术后随访至少1年。94例患者术后症状即刻消失，有效率94．9％。术后即刻治愈94例（94．9％），三叉神经痛和面肌痉挛分别为55例（93．2％）和39例（97．5％）；随访末期共治愈98例（99．0％），两种疾病分别为58例（98．3％）及40例（100．0％）。面肌痉挛患者中l例术后3d有轻度抽搐；1例术后出现听力障碍；1例轻度面瘫，随诊末均消失或好转。三叉神经痛患者中4例患者术后症状时有发作，其中3例随诊末症状消失，1例配合口服卡马西平可控制满意。全部患者均无脑脊液漏、颅内感染发生，无死亡和致残病例。提示显微血管减压术治疗三叉神经痛和面肌痉挛的治愈率高，创伤小，远期并发症少。Ninety nine patients with trigeminal neuralgia （ TN, n = 59） or hemifacial spasm （ HFS, n =40） underwent microvaseular decompression （MVD） treatment in our hospital from January 2012 to Deeember 2015, and were followed up for more than 1 year. Total 94 patients （94.9%） were cured after the surgery, including 55 TN cases （93.2%） and 39 HFS cases （97.5%）. The 1-year follow up showed that total 98 patients （99. 0%） were cured, including 58 TN cases （98. 3%） and 40 HFS eases （100. 0% ）. Among the HFS cases, 1 patient got gentle spasm, 1 patient got hearing deficit, 1 patient got light faeial palsy after the operation, and all recovered completely during the follow-up. Among the TN cases, 4 patients got pain attaek infrequently after the operation, 3 of them recovered during the follow-up, and the symptoms were satisfactorily controlled by taking carbamazepine in rest 1 case. No cases had eerebrospinal fluid leakage or intraeerehral infection. The results indicate that MVD is an effective treatment of HFS and TN with less surgical injury or complications.

关 键 词：三叉神经痛 显微外科手术 血管外科手术 

分 类 号：R651.3[医药卫生—外科学]