不同切口显微血管减压术治疗面肌痉挛的效果  

Effect of Different Incision Microsurgical Vascular Decompression in the Treatment of Facial Spasm

作　　者：刘禹 李锴[1] 王常伟[1] 刘霄[1] 刘德中[1] LIU Yu;LI Kai;WANG Changwei;LIU Xiao;LIU Dezhong(Department of Neurosurgery,Zhoukou Central Hospital,Zhoukou 466099,China)

机构地区：[1]周口市中心医院神经外科,河南周口466099

出　　处：《河南医学研究》2024年第19期3552-3555,共4页Henan Medical Research

摘　　要：目的分析不同切口显微血管减压术(MVD)治疗面肌痉挛(HFS)的效果。方法回顾性收集2019年6月至2023年11月周口市中心医院收治的97例HFS患者为研究对象,按照不同治疗方案分为两组,其中竖切口组(49例)接受竖切口MVD,横切口组(48例)接受耳后横切口MVD,观察两组手术基础指标、面部美观满意度、并发症状况以及围手术期疼痛视觉模拟量表(VAS)分值、脑干听觉诱发电位(BAEP)。结果与竖切口组相比,横切口组手术时长与切口长度较短,术中出血量较少(P<0.05)。术后12 h横切口组VAS评分均低于竖切口组,且改善幅度大于竖切口组(P<0.05)。横切口组术后12 h波间期、潜伏期以及波幅的BAEP均高于竖切口组(P<0.05)。横切口组并发症发生率低于竖切口组(P<0.05)。横切口组面部美观满意度高于竖切口组(P<0.05)。结论与竖切口相比,耳后横切口MVD治疗HFS效果确切,可明显改善手术效果,减轻术后疼痛度,增强BAEP,减少并发症,并提升面部美观度。Objective To analyze the effect of microsurgical vascular decompression(MVD)with different incisions in the treatment of hemifacial spasm(HFS).Methods A total of 97 patients with HFS admitted in Zhoukou Central Hospital from June 2019 to November 2023 were retrospectively collected and divided into two groups according to different treatment schemes.The vertical incision group(49 cases)received vertical incision MVD,and the transverse incision group(48 cases)received postauricular transverse incision MVD,The basic indicators of surgery,facial beauty satisfaction,complications,perioperative visual analogue scale(VAS)score and brainstem auditory evoked potential(BAEP)of the two groups were observed.Results Compared with the vertical incision group,the horizontal incision group had shorter surgical duration and incision length,and less intraoperative bleeding(P<0.05).The VAS scores of the transverse incision group were lower than those of the vertical incision group 12 hours after surgery,and the improvement was greater than that of the vertical incision group(P<0.05).The BAEP of the transverse incision group was higher than that of the vertical incision group in terms of the 12 hour interval,latency,and amplitude after surgery(P<0.05).The incidence of complications in the transverse incision group was lower than that in the vertical incision group(P<0.05).The satisfaction with facial aesthetics in the horizontal incision group was higher than that in the vertical incision group(P<0.05).Conclusion Compared with the vertical incision,the effect of MVD in the treatment of HFS is significant,which can significantly improve the surgical effect,reduce postoperative pain,enhance BAEP,reduce complications,and improve facial beauty.

关 键 词：横切 显微血管减压术 面肌痉挛 脑干听觉诱发电位 

分 类 号：R61[医药卫生—外科学]