悬吊技术在面肌痉挛显微血管减压术中的应用  

Application of hanging techniques in microvascular decompression for hemifacial spasm

作　　者：杨德宝[1] 周世军[1] 王安琪 陈寒春[1] 蒋栋毅[1] 王之敏[1] YANG De-bao;ZHOU Shi-jun;WANG An-qi(Department of Neurosurgery, Suzhou Kowloon Hospital Affiliated to Shanghai Jiaotong University School of Medicine ,Suzhou 215021, China)

机构地区：[1]上海交通大学医学院附属苏州九龙医院神经外科,苏州215021

出　　处：《临床神经外科杂志》2018年第3期200-203,共4页Journal of Clinical Neurosurgery

基　　金：苏州市"科教兴卫"青年科技项目(KJXW2016072);苏州九龙医院培育项目(JL201701)

摘　　要：目的探讨悬吊技术在面肌痉挛显微血管减压术的应用价值。方法自2008年1月至2015年12月采用悬吊技术对58例面肌痉挛患者行显微血管减压术治疗,分析患者的手术效果。结果术后总有效率达98.3%(57/58),术后治愈率为94.8%(55/58)。术后分别发生听力下降、迟发性面瘫、伤口感染者各1例。术后随访55例患者,随访时间1~9年,平均5.1年,其中1例患者复发。结论在面肌痉挛显微血管减压术中,采用胶水进行责任动脉悬吊,能够实现面神经的充分减压,尤其适用于复杂血管引起的压迫;是一种简单、安全、有效的方法。Objective To explore the application value of hanging techniques in microvascular decompression（ MVD） for hemifacial spasm（ HFS）. Method The surgical effects of 58 patients with HFS treated by MVD using hanging techniques were analyzed. Results The postoperative total effective rate was 98. 3%（ 57/58） and the curative rate was 94. 8%（ 55/58）. Postoperative complication included transient hearing dysfunction,delayed facial paralysis and infection of incisional wound of one each retrospectively. The follow-up period ranged from 1 to 9 year. 1 case experienced recurrence during the following-up period. Conclusion MVD with hanging technique of offending artery is a simple,safe and effective way in treating HFS.

关 键 词：面肌痉挛 显微血管减压术 悬吊 异常肌电位 面神经运动诱发电位 

分 类 号：R745.1[医药卫生—神经病学与精神病学]