显微血管减压术治疗神经源性高血压1例报道并文献复习  

Microvascular decompression for neurogenic hypertension:a case report and literature review

作　　者：景慎东 黄瑞飞 李家林 王元星 张黎[2] JING Shendong;HUANG Ruifei;LI Jialin(Department of Neurosurgery,Zhangqiu Hospital of Traditional Chinese Medicine,Jinan 250200,China)

机构地区：[1]山东省济南市章丘区中医医院神经外科,济南250200 [2]北京中日友好医院神经外科

出　　处：《临床神经外科杂志》2023年第3期348-350,共3页Journal of Clinical Neurosurgery

摘　　要：目的探讨显微血管减压术(MVD)治疗神经源性高血压的手术适应症、疗效等进行分析。方法选择1例单纯性神经源性高血压患者,符合手术入选标准,术前MRI影像支持,在全麻下行左侧延髓腹外侧(VLM)和后组颅神经MVD。结果患者MVD术后血压与术前血压对比有统计学显著性差异(P<0.01)。结论选择合适的患者,左侧VLM和后组颅神经MVD治疗神经源性高血压疗效确切。Objective To explore the surgical indications and efficacy of microvascular decompression(MVD)for the treatment of neurogenic hypertension.Methods A patient with simple neurogenic hypertension who met the surgical inclusion criteria,supported by preoperative MRI images,underwent left ventrolateral medullary(VLM)and posterior cranial nerve MVD under general anesthesia was selected.Results The blood pressure of the patient after MVD was related to the operation.There was statistically significant difference between postoperative blood pressure and pre-blood pressure(P<0.01).Conclusion Selecting the right patient for left VLM and posterior cranial nerve MVD are effective in the treatment of neurogenic hypertension.

关 键 词：神经源性高血压 延髓腹外侧 后组颅神经 显微血管减压术 

分 类 号：R651.3[医药卫生—外科学]