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显微血管减压手术治疗面肌痉挛 被引量:1

Microvascular Decompression in the Treatment of Hemifacial Spasm
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摘要 目的:研究显微血管减压术治疗面肌痉挛的疗效和安全性。方法:回顾性分析76例微血管减压术治疗面肌痉挛的临床资料。结果:随访(10~35)个月,平均20个月。72例患者HFS症状消失,2例为手术无效者,2例术后约1年复发,手术有效率达到94.7%。结论:显微血管减压术是面肌痉挛最有效的治疗方法,熟练的显微外科技术以及术中正确识别责任血管,充分的减压是提高手术疗效,减少症状复发的关键。 Objective: To observe the efficacy and safety of microvascular decompression for hemifacial.Methods: 76 cases of HFS paticnts treated with MVD operation were studied retrospectively.Results: The follow-up was 10-35months(mean 20 months) 72 cases were cured,2 cases were inefficacy,2 cases recurrented one year afrter operation.Conclusion: MVD operation is the most available treatment to HFS.Skilled microsurgical technique along with correct recognition mobilization of offending vessels are a need to assure MVD a high efficacious and decrease recurrence rate for Hfs patients.
出处 《中国医药导刊》 2009年第1期12-12,15,共2页 Chinese Journal of Medicinal Guide
关键词 面肌痉挛 微血管减压手术 复发 Microvascular Decompression Hemifacial Spasm Recurrence
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参考文献6

  • 1Fukashima T.Mierovascular decompression for hemifacial spasm.Results in 2890 cases.Neurovascular Surgery,New York,Mc Graw-Hill,1995;1133-1145
  • 2Moiler AR.Vascular compression of cranial nerves.I.History of the microvascular decompression operation.Neurol Res,1998;20(8):727-731
  • 3Barker FG,Jannetta PJ,Bissonette VJ,et al.Microvascular decompression for hemifacial spasm.J Neurosurg,1995;82(2):201-210
  • 4Payner TD,Tew Jw Jr.Recurrence of hemifacial spasm after microvascular decompression.Neuroanrgery,1996;38(4):686-690
  • 5Kondo A.Follow-up results of microvascular decompression neuralgia and hemifacial spasm.Neurosurgery,1997;40(1):46-51
  • 6McLanghlin MR,Jannetta PJ,Clyde BL,et al.Microvascular decompression of cranial nerves:Lessons learned after 4400 operations.J Neurosurg.1999 Jan;90(1):1-8

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