[1]胡文瀚,王新生.内镜在显微血管减压术中安全性和有效性的系统回顾[J].临床神经外科杂志,2015,(02):81-84.
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内镜在显微血管减压术中安全性和有效性的系统回顾()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2015年02期
页码:
81-84
栏目:
显微血管减压术专题
出版日期:
2015-04-15

文章信息/Info

Title:
Effect and safety of endoscopic vascular decompression: a systematic review
作者:
胡文瀚 王新生
北京市神经外科研究所
关键词:
内镜显微血管减压三叉神经痛面肌痉挛
Keywords:
endoscopy microvasclular decompression trigeminal neuralgia hemifacial spasm
分类号:
R745.1
文献标志码:
A
摘要:
目的:了解内镜在显微血管减压术中应用的有效性和安全性。方法:系统检索在显微血管减压术治疗三叉神经痛和面肌痉挛中应用了内镜的中英文文献。根据预先设定的纳入标准筛选文献后采集文献中相关数据,包括:论文作者,通信作者单位,发表时间,病例总数,术后三叉神经痛或面肌痉挛完全消失的病例数,并发症(感染,面部麻木,面瘫,耳鸣,听力下降,脑脊液漏及死亡)发生病例数以及随访时间。最后统计总的手术完全有效率和并发症发生率。结果:在三叉神经痛和面肌痉挛的的研究中,手术完全有效率分别为93%(95%CI:90-96)和94%(95%CI:91-96)。各项并发症的发生率为1%~8%。结论:内镜应用于显微血管减压治疗三叉神经痛和面肌痉挛,具有较高的有效性和安全性,但需要较高级别的循证医学证据(随机对照试验)来证实。
Abstract:
Object: To investigate the effect and safety of of endoscopic vascular decompression. Method: a comprehensive literature search identified English and Chinese articles that described the application of endoscopy in vascular decompression for trigeminal neuralgia and hemifacial spasm. The articles were screened according to predetermined inclusion criteria and data including authors, institution of corresponding author, year of publishing, number of patient population, number of patients without symptoms after surgery, number of patients suffered complications (infection, hemifacial numbness, hemifacial palsy, tinninus, change of hearing, cerebral spinal fluid leakage and death) and duration of follow-up was extracted. The pooled rates of success and complication were caculated. Results: the pooled success rate in trigeminal neuralgia and hemifacial spasm study was 93% (95%CI: 90-96) and 94% (95%CI: 91-96) respectively, with each compliation rate ranging from 1% to 8%. Conclusion: Although endoscopic vascluar decompression for trigeminal neuralgia and hemifacial spasm is effective and safe, it still needs to be confirmed by studies (random controled trail) with high-grade evidence.

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备注/Memo

备注/Memo:
[收稿日期] 2014-11-18 [基金项目]北京市科技新星计划
更新日期/Last Update: 2015-04-15