| 全程减压与常规微血管减压治疗面肌痉挛的对比研究 |
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| 引用本文： | 李心远,李世亭,应婷婷,王旭辉,冯保会,洪文瑶. 全程减压与常规微血管减压治疗面肌痉挛的对比研究[J]. 中华神经外科疾病研究杂志, 2011, 10(2): 118-120 |
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| 作者姓名： | 李心远 李世亭 应婷婷 王旭辉 冯保会 洪文瑶 |
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| 作者单位： | 上海交通大学医学院附属新华医院神经外科,上海交通大学颅神经疾病诊治中心,上海,200092 |
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| 摘 要： | 目的 探讨面神经异常肌反应监测下全程减压与常规微血管减压治疗面肌痉挛的显微手术技术和手术疗效.方法 回顾性分析2003年7月至2010年3月采用两种方法治疗的1 860例面肌痉挛患者的临床资料.按手术方式不同分为A、B两组,A组650例,采用常规面神经出脑干区(REZ)微血管减压术治疗;B组1 210例,在面神经异常肌反应监测下行全程减压术.结果 A组:手术疗效:术后症状缓解共582例(89.53%),无效68例(10.46%);术后并发症:面瘫24例(3.69%),耳鸣、听力下降31例(4.76%),吞咽困难、呛咳3例.B组,手术疗效:术后症状缓解共1 185例(98%),无效25例(2.07%);术后并发症:面瘫46例(3.80%),耳鸣、听力下降76例(6.28%),吞咽困难、呛咳3例.B组与A组相比,治愈率有显著性差异(P<0.01),并发症发生率无显著差异(P>0.05).结论 面肌异常肌反应监测下对面神经根全程充分减压,在未增加并发症的情况下能有效提高治愈率.
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| 关 键 词： | 面肌痉挛 异常肌反应 全程减压 |
Comparison between whole-range and traditional microvascular decompression for the treatment of hemifacial spasm |
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| LI Xinyuan,LI Shiting,YING Tingting,WANG Xuhui,FENG Baohui,HONG Wenyao. Comparison between whole-range and traditional microvascular decompression for the treatment of hemifacial spasm[J]. Chinese Journal of Neurosurgical Disease Research, 2011, 10(2): 118-120 |
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| Authors: | LI Xinyuan LI Shiting YING Tingting WANG Xuhui FENG Baohui HONG Wenyao |
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| Affiliation: | LI Xinyuan,LI Shiting,YING Tingting,WANG Xuhui,FENG Baohui,HONG Wenyao Department of Neurosurgery,Xinhua Hospital,School of Medicine,Shanghai Jiaotong University,Cranial Nerve Disease Center of Shanghai,Shanghai 200092,China |
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| Abstract: | Objective To investigate the effect of whole-range and the traditional microvascular decompression(MVD) for the treatment of hemifacial spasm(HFS) under abnormal muscle response(AMR) monitoring.Methods A total of 1 860 patients of HFS were reviewed between July 2003 and March 2010.The patients were divided into group A(650 patients) and group B(1 210 patients).The patients of group A underwent traditional MVD and that of group B were performed with whole-range MVD with AMR monitoring.ResultsIn group A,the s... |
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| Keywords: | Hemifacial spasm Abnormal muscle response Whole-range microvascular decompression |
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