显微血管减压术治疗神经源性高血压38例并文献回顾

发布时间：2018-03-07 19:34

本文选题：显微血管减压术　切入点：神经源性高血压　出处：《中华高血压杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的探讨显微血管减压术(MVD)治疗神经源性高血压的临床应用价值。方法回顾性分析2010年1月至2015年7月于神经外科治疗的38例诊断为神经源性高血压的患者,均伴有面肌痉挛、三叉神经痛、舌咽神经痛等颅神经疾病症状。术前对患者进行磁共振检查,提示左侧延髓头端腹外侧区(RVLM)及后组颅神经出(入)脑干区(REZ)存在位置异常的血管压迫。对左侧RVLM及第Ⅸ、Ⅹ颅神经REZ进行MVD,随访12~23个月,观察血压变化情况。结果根据术后血压水平,38例患者中治愈11例(28.9%),显效12例[31.6%,收缩压下降(39±13)mm Hg,舒张压下降(15±7)mm Hg],有效7例[18.4%,收缩压下降(16±8)mm Hg,舒张压下降(6±2)mm Hg],无效8例(21.1%)。显效率60.5%,有效率78.9%。所有患者的颅神经压迫症状均消失并且未出现严重并发症。结论 MVD在治疗神经源性高血压方面具有一定的应用前景。
[Abstract]:Objective to evaluate the clinical value of microvascular decompression in the treatment of neurogenic hypertension. Methods 38 cases of neurogenic hypertension diagnosed by neurosurgery from January 2010 to July 2015 were retrospectively analyzed. Symptoms of cranial nerve diseases such as trigeminal neuralgia and glossopharyngeal neuralgia. It was suggested that there was abnormal vascular compression in the left ventrolateral medulla ventrolateral area (RVLM) and the posterior cranial nerve exiting (entering) brain stem area. The left RVLM and REZ were followed up for 1223 months. Results according to the postoperative blood pressure level, 11 cases were cured with 28.9mm, 12 cases with remarkable effect [31.6mm, 39 卤13mm Hg, 15 卤7mm Hg], 7 cases were effective [18.4mm, 16 卤8mm Hg, 6 卤2mm Hg]. The effective rate was 60.5 and the effective rate was 78.9. The symptoms of cranial nerve compression disappeared and no serious complications occurred in all patients. Conclusion MVD has a certain application prospect in the treatment of neurogenic hypertension.
【作者单位】：武警后勤学院附属医院脑系科中心;武警后勤学院附属医院武警部队心血管病研究所;
【基金】：武警后勤学院附属医院种子基金(FYZ201604) 天津市科技计划项目(16ZXMJSY00130)
【分类号】：R544.1

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