88例面肌痉挛显微血管减压术临床研究

Experience in microvascular decompression for 88 patients with hemifacial spasm

摘要:

目的 探讨微血管减压术治疗面肌痉挛的临床疗效。方法 2017年12月至2018年11月期间本院神经外科收治的面肌痉挛患者88例，均采用微血管减压术治疗，术中采用脑干听觉诱发电位监测。术后随访1年，统计临床疗效及不良反应发生情况。结果 88例患者中，49例（56.0%）即刻治愈；32例（36.0%）延迟愈合；4例（5%）未愈；3例（3%）复发；本组总有效率为92.05%（81/88）。术后并发症发生率为11.36%（10/88）。结论 微血管减压术治疗面肌痉挛的临床疗效确切。术中应注意小脑保护、责任血管的成功判断、减压材料的大小与放置方式，同时严密缝合硬膜。

Abstract:

Objective To explore the clinical effect of microvascular decompression in the treatment of hemifacial spasm.Methods This study included 88 patients with hemifacial spasm who were treated with microvascular decompression at the department of neurosurgery of our hospital. Brainstem auditory evoked potential was used for intraoperative monitoring. Postoperative follow-up was conducted for 1 year to analyze clinical efficacy and adverse reactions.Results Of all patients, 49 (56.0%) were cured immediately, 32 (36.0%) had delayed resolution, 4(5%) were not cured, and 3 (3%) relapsed. The overall response rate was 92.05% (81/88). The incidence of postoperative complications was 11.36% (10/88).Conclusions Microvascular decompression is effective in the treatment of hemifacial spasm. During the operation, attention should be paid to cerebellar protection, successful judgment of offending vessels, and size and placement of decompression materials. The dura mater should be closely sutured after surgery.