| 前庭蜗神经显微血管减压术的初步报告 |
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| 引用本文： | 张黎,于炎冰,袁越,许骏,徐晓利. 前庭蜗神经显微血管减压术的初步报告[J]. 中华神经外科疾病研究杂志, 2011, 10(2): 129-132 |
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| 作者姓名： | 张黎 于炎冰 袁越 许骏 徐晓利 |
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| 作者单位： | 卫生部中日友好医院神经外科,北京,100029 |
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| 摘 要： | 目的 探讨前庭蜗神经显微血管减压术(MVD)治疗耳鸣、眩晕的疗效.方法 10例耳鸣患者,5例眩晕患者,2例耳鸣伴眩晕的患者,均合并三叉神经痛(TN)或者面肌痉挛(HFS),以上患者均在实施乙状窦后入路手术治疗TN、HFS的同时行前庭蜗神经MVD治疗伴随的耳鸣或眩晕.3例单纯耳鸣患者以及1例单纯眩晕患者均接受乙状窦后入路单纯前庭蜗神经MVD,治疗耳鸣或眩晕.结果 术中均发现有动脉性血管压迫前庭蜗神经.术后即刻疗效:15例耳鸣患者中治愈7例,好转5例,无效3例;8例眩晕患者中治愈4例,好转2例,无效2例.平均随访8个月,随访疗效:15例耳鸣患者中治愈8例,好转4例,无效3例,总有效率80%;8例眩晕患者中治愈4例,好转2例,无效2例,总有效率75%.1例单纯耳鸣患者术后出现患侧听力丧失,随访期间未恢复.结论 血管压迫前庭蜗神经是顽固性耳鸣、致残性眩晕的病因之一;MVD针对有选择的耳鸣、眩晕患者是一种安全、有效的治疗方法.
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| 关 键 词： | 显微血管减压术 耳鸣 眩晕 颅神经 |
Microvascular decompression of cochleovestibular nerve: a preliminary report |
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| ZHANG Li,YU Yanbing,YUAN Yue,XU Jun,XU Xiaoli. Microvascular decompression of cochleovestibular nerve: a preliminary report[J]. Chinese Journal of Neurosurgical Disease Research, 2011, 10(2): 129-132 |
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| Authors: | ZHANG Li YU Yanbing YUAN Yue XU Jun XU Xiaoli |
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| Affiliation: | ZHANG Li,YU Yanbing,YUAN Yue,XU Jun,XU Xiaoli Department of Neurosurgery,China-Japan Friendship Hospital,Beijing 100029,China |
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| Abstract: | Objective To study the effect of microvascular decompression(MVD) of cochleovestibular nerve for treatment of tinnitus and vertigo.Methods A total of 10 cases of tinnitus,5 cases of vertigo and 2 cases of tinnitus and vertigo,all with other cranial neuropathies(hemifacial spasm or trigeminal neuralgia at the same side),were treated surgically by MVD for cochleovestibular nerve after MVD of facial nerve or trigeminal nerve.MVD of cochleovestibular nerve was also performed on 3 cases of primary tinnitus and 1... |
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| Keywords: | Microvascular decompression Tinnitus Vertigo Cranial nerve |
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