神经内镜辅助显微血管减压术治疗面肌痉挛的临床研究.pdfVIP

窑临床研究 窑 中国医药导报 2014年9月第 11卷第27期 神经内镜辅助显微血管减压术 治疗面肌痉挛的临床研究 申志才1 刘 健1 陈礼刚2银 1.四川省绵阳市人民医院神经外科袁四川绵阳 621000曰2.泸州医学院附属医院神经外科袁四川泸州 646000 [摘要] 目的探讨神经内镜辅助下显微血管减压术渊MVD冤治疗原发性面肌痉挛渊HFS冤疾病的价值遥 方法 收集泸 州医学院附属医院神经外科2009年3月~2012年4月收治的原发性面肌痉挛患者62例袁 其中行神经内镜辅助 下显微血管减压术的面肌痉挛患者32例渊A组冤袁行传统显微血管减压术的面肌痉挛患者30例渊B组冤袁比较两种 治疗方法的手术治愈率尧并发症的情况以及术后住院时间遥 结果责任血管发现院A组32例患者均发现责任血管袁 B组29例患者发现责任血管曰治愈率院A组治愈率为96.9%渊31例冤袁B组治愈率为90.0%渊27例冤曰并发症发生率院A 组为 15.6%渊5例冤袁B组为26.7%渊8例冤曰住院时间院A组为渊8.0依1.3冤d袁B组为渊11.0依2.7冤d曰上述指标两组比较差异 均有统计学意义渊P 约0.05冤遥 结论 神经内镜辅助MVD治疗HFS能避免遗漏责任血管袁减少对脑干尧颅神经和 重要血管的的牵拉损伤袁对提高手术效果尧减少术后并发症有重要价值遥 [关键词] 面肌痉挛曰显微神经血管减压术曰神经内镜 [中图分类号] R741 [文献标识码]A [文章编号] 1673-7210渊2014冤09渊c冤-0062-05 Neuroendoscope-assisted microvascular decompression for the treatment ofhemifacial spasm 1 1 2银 SHENZhicai LIU Jian CHENLigang 1.Departmentof Neurosurgery, the Peoples Hospital of Mianyang City, Sichuan Province, Mianyang 621000, China; 2.Department of Neurosurgery, the Affiliated Hospital of Luzhou Medical College, Sichuan Province, Luzhou 646000, China [Abstract] Objective To explore the value of neuroendoscopy-assisted microvascular decompression (MVD) for the treatment of patientswith hemifacial spasm (HFS).Methods 62 cases of patientswith HFS admitted in Department of Neurosurgery,the Affiliated Hospital of Luzhou Medical Collegefrom March 2009 to April 2012were selected.All pa鄄 tients were divided into two groups, group A was given neuroendoscopy-assisted microvascular decompression therapy (n=32) and group B was given conventional microvascular decompression therapy (n=30). The cure rate, incidence of common complications, and intraoperativehospital staywere compared amo