[1]金伟,王晶,戴宇翔,等.术前腰大池引流在面肌痉挛微血管减压手术中的应用[J].临床神经外科杂志,2014,(06):440-442.
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术前腰大池引流在面肌痉挛微血管减压手术中的应用
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2014年06期
页码:
440-442
栏目:
论著
出版日期:
2014-12-31

文章信息/Info

Title:
Preoperative Lumbar Cistern Drainage Application in Microvascular Decompression for Hemifacial Spasm
作者:
金伟 王晶 戴宇翔 徐武 倪红斌 梁维邦
南京大学医学院附属鼓楼医院神经外科
关键词:
腰大池引流面肌痉挛微血管减压术
Keywords:
Lumbar cistern drainage Hemifacial spasm Microvascular decompression
分类号:
R651.1
文献标志码:
A
摘要:
目的探讨术前腰大池引流在面肌痉挛显微血管减压中的应用指征及体会。方法,对5例面肌痉挛术前MRI显示后颅窝形态及蛛网膜下腔狭小的患者,术前行腰大池引流,观察微血管减压术疗效及术后并发症,并对其进行总结。结果5例患者在术前行腰大池引流后,常规行显微血管减压手术,术中空间显露良好,脑组织牵拉程度较小,术后病人恢复良好,痉挛消失,且无面瘫、听力改变、声音嘶哑及小脑损伤表现。结论术前行腰大池置管引流可降低颅内压,术中手术视野显露增大,减少对脑组织的牵拉,利于手术操作、可减少并发症,提高疗效。
Abstract:
[Objective] To evaluate the indications of preoperative lumbar cistern drainage during microvascular decompression (MVD)for hemifacial spasm. [Methods] Five patients with hemifacial spasm who with narrow posterior fossa and subarachnoid displayed by preoperative magnetic resonance imaging were used preoperative lumbar cisten drainage. The surgical outcomes and postoperative complications were analyzed retrospectively. [Results] Five patients with preoperative lumbar drainage, obtained better exposure and less brain tissue retractin during microvascular decompression. All patients had complete relief of the symptoms without facial paralysis, hearing loss,hoarseness and cerebellum damage. [Conclusion] Preoperative lumbar cistern drainage can reduce the intracranial pressure, increase the intraoperative exposure, decrease the postoperative complications and improve outcome.

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备注/Memo

备注/Memo:
[收稿日期] 2014-06-19 [基金项目] 国家自然科学基金青年项目
更新日期/Last Update: 2014-12-15