[1]虞晨,徐武,姜成荣,等.改良责任动脉悬吊技术在面肌痉挛显微血管减压术中的应用[J].临床神经外科杂志,2019,16(1):38-44.[doi:10.3969/j.issn.1672-7770.2019.01.008]
 YU Chen,XU Wu,JIANG Cheng-rong,et al.Application of modified offending vessel suspension technique in microvascular decompression for hemifacial spasm[J].Journal of Clinical Neurosurgery,2019,16(1):38-44.[doi:10.3969/j.issn.1672-7770.2019.01.008]
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改良责任动脉悬吊技术在面肌痉挛显微血管减压术中的应用 ()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
16
期数:
2019年第1期
页码:
38-44
栏目:
论著
出版日期:
2019-02-18

文章信息/Info

Title:
Application of modified offending vessel suspension technique in microvascular decompression for hemifacial spasm
作者:
虞晨徐武姜成荣王晶梁维邦
210008 南京,南京大学医学院附属鼓楼医院神经外科
Author(s):
YU Chen XU Wu JIANG Cheng-rong et al.
Department of Neurosurgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210008, China
关键词:
面肌痉挛显微血管减压术责任动脉悬吊
Keywords:
hemifacial spasm microvascular decompression offending vessel suspension
分类号:
R654.3
DOI:
10.3969/j.issn.1672-7770.2019.01.008
文献标志码:
A
摘要:
目的探讨改良责任动脉悬吊技术在面肌痉挛显微血管减压术治疗中的应用价值。 方法回顾性分析南京大学医学院附属鼓楼医院神经外科2017年6月—2017年12月,采用改良的悬吊技术行显微血管减压术治疗的18例面肌痉挛患者的临床资料。术后对患者进行6个月的随访,观察分析其疗效及并发症。结果本组患者术后经6个月随访,其中17例患者(94.4%)治愈,1例患者(5.6%)部分缓解,总有效率达100%。3例患者术后发生不同程度的面瘫,经对症治疗后均在随访期间治愈。所有患者均未出现听力下降、吞咽困难、饮水呛咳、声音嘶哑等并发症。随访期间无复发病例。结论显微血管减压术中应用改良的悬吊技术是安全有效的,并且具有操作简单、可逆、损伤小的特点,是对传统显微血管减压术的补充。
Abstract:
Abstract: ObjectiveTo investigate the efficacy of modified offending vessel suspension technique in microvascular decompression(MVD) for hemifacial spasm. MethodsThe clinical data of 18 patients with hemifacial spasm underwent MVD using the modified offending vessel suspension technique, were analyzed retropectively. All patients were followed up for 6 months. Surgical effect and postoperative complications were recorded and analyzed. ResultsThe curative rate was 94.4%(17/18) and partial remission rate was 5.6%(1/18) after 6-month follow-up. Total effective rate was 100%. Transientfacial palsy occurred in 3 patients and was cured during the follow-up period. Other postoperative complications including hearing impairment, dysphagia, bucking and hoarseness were not found. There was no recurrent case. ConclusionsThe modified offending vessel suspension technique is effective and safe. This method is easily applied, reversible and with little damage. It is also a supplement to traditional MVD.

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更新日期/Last Update: 2019-02-18