按层次解剖肌肉保留骨瓣乙状窦后入路开颅在微血管减压术中的应用  

The application of the posterior approach of the posterior approach to the microvascular decompression by dissecting the muscle at the anatomical level

作　　者：程登贵[1] 蒋其俊[1] 文朋 Cheng Denggui;Jiang Qijun;Wen Peng(Department of Neurosurgery,the First People's Hospital of Zunyi City,Guizhou Province 563000)

机构地区：[1]贵州省遵义市第一人民医院神经外科,563000

出　　处：《中国社区医师》2019年第3期28-28,30,共2页Chinese Community Doctors

摘　　要：目的:探究按层次解剖肌肉保留骨瓣乙状窦后入路开颅在微血管减压术中的应用价值。方法:收治行微血管减压术治疗的患者81例,分两组。对照组患者采用传统方法去除骨瓣且进行不同层次解剖肌肉的开颅手术,试验组的患者采用按层次解剖肌肉保留骨瓣的乙状窦后入路开颅手术。结果:研究组并发症发生情况少于对照组(P<0.05);研究组生活质量显著优于对照组(P<0.05)。结论:采用按层次解剖肌肉保留骨瓣乙状窦后入路的开颅手术在微血管减压术中有更好的作用效果,并且手术后,并发症发生率明显降低,这种手术方法更有利于在微血管减压术中的应用。Objective:To investigate the application value of the posterior approach of the posterior approach to the microvascular decompression by dissecting the muscle at the anatomical level.Methods:81 patients treated with microvascular decompression were selected,they were divided into the two groups,patients in the control group were treated with traditional methods to remove bone flaps and craniotomy with different levels of anatomical muscles,while patients in the experimental group received retrosigmoid craniotomy with preservation of bone flaps by layered muscle dissection.Results:The incidence of complications in the study group was lower than that in the control group(P<0.05).The quality of life in the study group was significantly better than that in the control group(P<0.05).Conclusion:Using hierarchically anatomical muscles retain bone flap after sigmoid sinus approach craniotomy surgery have a better role in microvascular decompression effect,moreover,the incidence of complications was significantly reduced after the operation,which is more conducive to the application of microvascular decompression.

关 键 词：层次解剖肌肉 保留骨瓣 乙状窦 后入路开颅 微血管减压术 

分 类 号：R651.1[医药卫生—外科学]