神经内镜辅助微血管减压术治疗面肌痉挛效果观察

发布时间：2018-04-10 17:15

本文选题：面肌痉挛 + 微血管减压术　；参考：《山东医药》2017年27期

【摘要】：目的观察神经内镜辅助微血管减压术(MVD)治疗面肌痉挛的临床效果。方法拟行手术治疗的面肌痉挛患者127例,根据手术方式不同分为观察组57例和对照组70例。观察组采用神经内镜辅助MVD治疗,对照组采用单纯MVD治疗。术后观察患者恢复情况,至少随访6个月并评估疗效,计算总有效率。观察患者术后头痛、头晕、耳鸣或听力下降等并发症发生情况,计算并发症发生率。结果 MVD术中,观察组1例未明确责任血管,对照组5例未发现明显责任血管。观察组治愈48例、缓解8例、无效1例、总有效率为98.25%,对照组分别为55例、7例、8例和88.57%,观察组总有效率高于对照组(P0.05)。所有患者术后至少随访6个月,共15例延迟治愈,无复发患者。观察组术后发生头痛、头晕1例,耳鸣、听力下降1例,并发症发生率为3.51%;对照组术后发生头痛、头晕2例,耳鸣5例,听力下降3例,并发症发生率为14.29%;观察组术后并发症发生率低于对照组(P0.05)。结论神经内镜辅助MVD治疗面肌痉挛可提高手术有效率,降低并发症发生率,效果较好。
[Abstract]:Objective to observe the clinical effect of endoscope-assisted microvascular decompression (MVD) on hemifacial spasm.Methods 127 patients with hemifacial spasm were divided into observation group (n = 57) and control group (n = 70).The observation group was treated with neuroendoscopy and MVD, while the control group was treated with MVD alone.Postoperative recovery was observed, followed up for at least 6 months and the efficacy was evaluated. The total effective rate was calculated.Complications such as headache, dizziness, tinnitus or hearing loss were observed.Results during MVD, one patient in the observation group had no clear responsible blood vessel, and five patients in the control group had not found any obvious responsible blood vessel.In the observation group, 48 cases were cured, 8 cases were relieved, 1 case was ineffective, the total effective rate was 98.25, in the control group, there were 55 cases, 7 cases, 8 cases, and 88.57 cases, respectively. The total effective rate of the observation group was higher than that of the control group (P 0.05).All patients were followed up for at least 6 months.In the observation group, headache and dizziness occurred in 1 case, tinnitus in 1 case, hearing loss in 1 case, and complication rate was 3.51 in the control group, headache, dizziness in 2 cases, tinnitus in 5 cases, hearing loss in 3 cases in the control group.The incidence of postoperative complications in the observation group was lower than that in the control group (P 0.05).Conclusion Endoscopic treatment of hemifacial spasm with MVD can improve the effective rate and reduce the incidence of complications.
【作者单位】：山东大学第二医院;潍坊市人民医院;
【基金】：山东省医药卫生科技发展计划项目(2014WS0430)
【分类号】：R651.3

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