术前多模态三维重建在微血管减压术的应用  

Application experience of preoperative multimodal three-dimensional reconstruction in microvascular decompression

作　　者：刘俊 张铭 全中平 王少波 周波 罗赤星 陈超 牟云娥 Liu Jun;Zhang Ming;Quan Zhongping;Wang Shaobo;Zhou Bo;Luo Chixing;Chen Chao;Mou Yune(Department of Neurosurgery,Jingmen People's Hospital,Jingmen,Hubei 448000,China;Department of Endocrinology,Jingmen People's Hospital,Jingmen,Hubei 448000,China)

机构地区：[1]荆门市人民医院神经外科,湖北荆门448000 [2]荆门市人民医院内分泌科,湖北荆门448000

出　　处：《中国微侵袭神经外科杂志》2025年第2期69-73,共5页Chinese Journal of Minimally Invasive Neurosurgery

基　　金：荆门市引导性科研计划项目(编号:2023YDKY023)。

摘　　要：目的探讨术前多模态三维重建在乙状窦后入路微血管减压术(microvascular decompression,MVD)治疗脑神经疾病的应用价值。方法回顾性分析64例采用MVD治疗的患者资料,其中三叉神经痛33例,面肌痉挛31例。根据是否使用术前多模态三维重建技术,将患者分为重建组(n=34)和对照组(n=30)。比较两组患者的关键孔(横窦-乙状窦交界处)定位准确率、责任血管判定率、骨窗面积、手术时间、手术疗效及并发症情况。结果重建组与对照组相比,关键孔准确率分别为91.18%和70.00%,责任血管判定准确率为94.12%和83.33%,手术时间分别为(175.41±27.83)min和(191.80±26.00)min,骨窗面积为(6.32±0.40)cm~2和(7.48±0.48)cm~2,差异均有统计学意义(均P<0.05)。两组并发症发生率与手术疗效比较,差异均无统计学意义(均P>0.05)。结论术前多模态三维重建在乙状窦后入路MVD治疗脑神经疾病中具有一定应用前景。Objective To investigate the application value of preoperative multimodal three-dimensional reconstruction in microvascular decompression(MVD)via the retrosigmoid approach for treating cranial nerve disorders.Methods The clinical data of 64 patients treated with MVD were analyzed retrospectively,including 33 cases of trigeminal neuralgia and 31 of hemifacial spasm.According to whether preoperative multimodal 3D reconstruction technology was used,the patients were divided into reconstruction group(n=34)and control group(n=30).And the accuracy of keyhole(transverse sinus-sigmoid sinus junction)positioning,the determination rate of offending vessels,the bone window area,operative time,surgical efficacy and complications were compared between the two groups.Results The accuracy rates of key holes in the reconstruction group and the control group was 91.18%and 70.00%,the determination rate of offending vessels 94.12%and 83.33%,the operative time(175.41±27.83)min and(191.80±26.00)min,and the bone window area(6.32±0.40)cm2 and(7.48±0.478)cm2 respectively There was a statistically significant difference between the two groups(P<0.05).There was no significant difference in the incidence of complications and surgical efficacy between the two groups(P>0.05).Conclusion The preoperative multimodal three-dimensional reconstruction may have a certain application potential in MVD via retrosigmoid approach in the treatment of cranial nerve diseases.

关 键 词：微血管减压术 多模态重建 三叉神经痛 面肌痉挛 

分 类 号：R651.3[医药卫生—外科学]