显微血管减压术治疗三叉神经痛和面肌痉挛的疗效观察
李涛;程亚鹏;刘跃亭
【期刊名称】《中华全科医师杂志》 【年(卷),期】2017(016)003
【摘要】Ninety nine patients with trigeminal neuralgia (TN,n =59) or hemifacial spasm (HFS,n =40) underwent microvascular decompression (MVD) treatment in our hospital from January 2012 to December 2015,and were followed up for more than 1 year.Total 94 patients (94.9％) were cured after the surgery,including 55 TN cases (93.2％) and 39 HFS cases (97.5％).The 1-year follow up showed that total 98 patients (99.0％) were cured,including 58 TN cases (98.3％) and 40 HFS cases (100.0％).Among the HFS cases,1 patient got gentle spasm,1 patient got hearing deficit,1 patient got light facial palsy after the operation,and all recovered completely during the follow-up.Among the TN cases,4 patients got pain attack infrequently after the operation,3 of them recovered during the follow-up,and the symptoms were satisfactorily controlled by taking carbamazepine in rest 1 case.No cases had cerebrospinal fluid leakage or intracerebral infection.The results indicate that MVD is an effective treatment of HFS and TN with less surgical injury or complications.%采用显微血管减压术对我院2012-2015年99例三叉神经痛(59例)和面肌痉挛(40例)患者进行手术治疗,术后随访至少1年.94例患者术后症状即刻消失,有效率94.9％.术后即刻治愈94例(94.9％),三叉神经痛
和面肌痉挛分别为55例(93.2％)和39例(97.5％);随访末期共治愈98例(99.0％),两种疾病分别为58例(98.3％)及40例(100.0％).面肌痉挛患者中1例术后3d有轻度抽搐;1例术后出现听力障碍;1例轻度面瘫,随诊末均消失或好转.三叉神经痛患者中4例患者术后症状时有发作,其中3例随诊末症状消失,1例配合口服卡马西平可控制满意.全部患者均无脑脊液漏、颅内感染发生,无死亡和致残病例.提示显微血管减压术治疗三叉神经痛和面肌痉挛的治愈率高,创伤小,远期并发症少.
【总页数】3页(227-229)
【关键词】三叉神经痛;显微外科手术;血管外科手术 【作者】李涛;程亚鹏;刘跃亭
【作者单位】030001太原,山西医科大学第一医院神经外科;030001太原,山西医科大学第一医院神经外科;030001太原,山西医科大学第一医院神经外科 【正文语种】中文 【中图分类】 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_chinese-journal-general-practitioners_thesis/0201254345015.html 【相关文献】
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显微血管减压术治疗三叉神经痛和面肌痉挛的疗效观察
