微血管减压术治疗三叉神经痛和面肌痉挛后对比性分析.docVIP

微血管减压术治疗三叉神经痛和面肌痉挛后对比性分析 　　[摘要] 目的 观察与探究微血管减压术治疗三叉神经痛和面肌痉挛后的效果。方法 方便选取2011年2月―2017年5月期间于该院就诊及治疗的28例三叉神经痛及面肌痉挛患者作为研究对象，将12例原发性三叉神经痛患者和5例继发性三叉神经痛患者作为三叉神经痛组，将11例面肌痉挛患者作为面肌痉挛组，均实施微血管减压术治疗，对比并分析两组患者的效果。结果 面肌痉挛组的临床症状缓解率、术后复发率（100.00%、0.00%）与三叉神经痛组（100.00%、0.00%）相对比，组间差异无统计学意义（P0.05），面肌痉挛组的术后面部感觉减退发生率、术后听力减退发生率、术后面瘫发生率（0.00%、9.09%、9.09%）与三叉神经痛组（5.88%、0.00%、0.00%）相对比，组间差异有统计学意义（P0.05）。结论 对三叉神经痛和面肌痉挛患者实施微血管减压术治疗的效果较好。 　　[关键词] 微血管减压术；三叉神经痛；面肌痉挛 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2017）11（a）-0103-03 　　[Abstract] Objective To observe and study the effect of microvacular decompression in treatment of prosopalgia and prosopospasm. Methods 28 cases of patients with prosopalgia and prosopospasm diagnosed in our hospital from February 2011 to May 2017 were convenient selected and 12 cases of patients with primary prosopalgia and 5 cases of patients with secondary prosopalgia were used as the prosopalgia group， while 11 cases of patients with prosopospasm were used as the prosopospasm group， and both groups were treated with microvacular decompression， and the effect was compared between the two groups. Results The differences in the clinical symptoms relief rate and postoperative recurrence rate between the prosopospasm group and prosopalgia group were not obvious， （100.00%， 0.00% vs 100.00%， 0.00%）（P0.05）， and the differences in the incidence rates of facial Hypoesthesia， dysacousis and prosopoplegia after surgery between the two groups were obvious（0.00%， 9.09%， 9.09% vs 5.88%， 0.00%， 0.00%），（P0.05）. Conclusion The effect of microvacular decompression in treatment of prosopalgia and prosopospasm is better. 　　[Key words] Microvacular decompression； Prosopalgia； Prosopospasm 　　三叉神经痛是由于患者的三叉神经分布部位出现反复发作、阵发性的剧烈疼痛，面肌痉挛是患者出现阵发性、不规则、半侧的面部肌肉不自主的抽搐，两者均属于比较常见的功能性的神经外科疾病[1-2]。该文方便选取2011年2月―2017年5月该院收治的28例三叉神经痛及面肌痉挛患者作为研究对象，针对微血管减压术治疗三叉神经痛和面肌痉挛后的效果给予研究。 　　1 资料与方法 　　1.1 一般资料 　　方便选择该院的28例三叉神经痛及面肌痉挛患者进行研究，原发性三叉神经痛12例，继发性三叉神经痛5例，面肌痉挛11例。三叉神经痛组中，男6例，女11例，年龄区间21～75岁，平均年龄（45.29±1.28）岁；