国际神经病学神经外科学杂志2011，Vol.38Issue(3)：233-235,3.
显微血管减压术治疗面肌痉挛51例临床分析
The clinical observation of microvascular decompression for hemifacial spasm
谢竹青 1陈春阳 1刘子彪 1侯永宏2
作者信息
- 1. 湖南省郴州市第一人民医院神经外科,湖南郴州,423000
- 2. 中南大学湘雅医院神经外科,湖南长沙,410008
- 折叠
摘要
Abstract
Objective The purpose of this study was to explore the efficacy of microvascular decompression(MVD) for hemifacial spasm(HFS). Methods We reviewed retrospectively the clinical data of 51 patients who suffered from hemifacial spasm and undergone MVD in our hospital. Results The compression to REZ could be observed during surgery with no exception. Among these offending arterial loops, AICA, 26 cases(51.0％ ), PICA, 16 cases(31.3％ ), VA,4 cases(7.8％ ), the combination of two arteries,5 cases (9.8％). Among all patients who undergone M VD for HFS, 43 individuals are completely relieved, 8 alleviated, 4 stopped twitching within three weeks and another 3 stopped twitching after three months. And only one patient had no significant improvement following surgery. One patient recurred after surgery. Conclusions MVD should be the first choice in the treatment of HFS. The confirming of offending artery loop, complete depression of REZ and avoiding injury to other important structures play a key role during the operation.关键词
面肌痉挛/显微血管减压术Key words
hemifacial spasm/ microvascular decompression引用本文复制引用
谢竹青,陈春阳,刘子彪,侯永宏..显微血管减压术治疗面肌痉挛51例临床分析[J].国际神经病学神经外科学杂志,2011,38(3):233-235,3.
