微血管减压术治疗原发性半面痉挛21例疗效分析  

An analysis of clinical efficacy of microvascular decompression for 21 inpatients suffering from primary hemifacial spasm

作　　者：巩丽娜 于栋祯[1,2] 吴雅琴 陈正侬[1,2] 殷善开[1,2] GONG Lina;YU Dongzhen;WU Yaqin;CHEN Zhengnong;YIN Shankai(Department of Skull Base Surgery Center,Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,China,200233,China;Department of Otolaryngology-Head and Neck Surgery,Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine)

机构地区：[1]上海交通大学医学院附属第六人民医院颅底外科中心,上海200233 [2]上海交通大学医学院附属第六人民医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2024年第5期372-375,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨评估面神经微血管减压术治疗原发性半面痉挛的手术疗效。方法:微血管减压术治疗原发性半面痉挛患者21例,随访至术后6个月,根据患者临床症状评定治疗疗效。结果:术后第1天、14天、1个月、3个月、6个月有效率分别为95.2%、100%、100%、100%、100%;术后出现耳鸣者1例,术后第6天耳鸣消失;术后出现术侧面瘫1例(术后第1天,术侧面神经功能Ⅱ级),术后第6天痊愈;随访期间无脑脊液漏、颅内感染、死亡和致残等不良事件发生。结论:微血管减压术是治疗原发性半面痉挛安全、有效的方法,值得临床推广。Objective To assess the effectiveness of microvascular decompression(MVD)in treating inpatients suffering from primary hemifacial spasm(HFS).Methods A total of 21 inpatients with HFS underwent MVD.The clinical effect was follow up evaluated according to the clinical symptoms until post operative 6 months.Results The effective rate of MVD for 1 day,14 days,1 month,3 months and 6 months post-operation was 95.2%,100%,100%,100%and 100%,respectively.one patient had transient tinnitus and the symptom disappeared within 6 days postoperatively.one patient developed postoperative incomplete facial paralysis(HB gradeⅣfacial nerve function,gradeⅡ)and recovered 6 days after surgery;There was no cerebrospinal fluid leakage,intracranial infection,death or disability occurred during follow-up.Conclusion Microvascular decompression is a safe and effective method for the treatment of primary hemifacial spasm,which is worthy of clinical promotion.

关 键 词：原发性半面痉挛 微血管减压术 责任血管 手术治疗 

分 类 号：R745[医药卫生—神经病学与精神病学]