| 面肌痉挛138例锁孔下显微血管减压治疗效果及手术技巧 |
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| 引用本文： | 魏剑波,黄志刚,张明,鄢克坤,王建力,李冬华,吴科,张汝林.面肌痉挛138例锁孔下显微血管减压治疗效果及手术技巧[J].实用医院临床杂志,2011,8(6):139-141. |
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| 作者姓名： | 魏剑波 黄志刚 张明 鄢克坤 王建力 李冬华 吴科 张汝林 |
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| 作者单位： | 四川省攀枝花市中心医院神经外科,四川 攀枝花,617067 |
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| 基金项目： | 四川省卫生厅科研资助项目(编号:100352); 攀枝花市应用技术研究与开发资金项目[编号:2010CY-S-1(3)] |
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| 摘 要： | 目的观察锁孔下显微血管减压术治疗面肌痉挛（Hemifacial spasm,HFS）的效果。方法 138例HFS患者采用锁孔下显微血管减压术手术,锁孔入路显露面神经脑干段,判断责任血管,将Teflon棉放置于面神经与责任血管之间固定;术中采用脑干听觉诱发电位监测。结果 138例术中均发现面神经根部有明确血管压迫,术后面肌痉挛即刻停止106例,1周内停止20例,3月内停止10例,术后复发2例。听力下降5例,听力完全丧失1例。结论显微血管减压术是HFS最有效的治疗方法,术中面神经根部的显露,责任血管的识别,Teflon片的放置等是影响手术效果的关键因素。术中应实时脑干听觉诱发电位监测。
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| 关 键 词： | 面肌痉挛 显微外科 显微血管减压 疗效 |
Curative effect and surgical skills of microvascular decompression via keyhole for 138 cases of hemifacial spasm |
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| WEI Jian-bo,HUANG Zhi-gang,ZHANG Ming,YAN Ke-kun,WANG Jian-li,LI Dong-hua,WU Ke,ZHANG Ru-lin.Curative effect and surgical skills of microvascular decompression via keyhole for 138 cases of hemifacial spasm[J].Practical Journal of Clinical Medicine,2011,8(6):139-141. |
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| Authors: | WEI Jian-bo HUANG Zhi-gang ZHANG Ming YAN Ke-kun WANG Jian-li LI Dong-hua WU Ke ZHANG Ru-lin |
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| Institution: | WEI Jian-bo,HUANG Zhi-gang,ZHANG Ming,YAN Ke-kun,WANG Jian-li,LI Dong-hua,WU Ke,ZHANG Ru-lin(Department of Neurosurgery,Panzhihua Central Hospital,Panzhihua 617067,China) |
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| Abstract: | Objective To discuss the efficacy of microvascular decompression(MVD) for hemifacial spasm(HFS).Methods We analyzed the clinical data of 138 cases of HFS by MVD.Through flocculonodular,the root exit zones(REZ) of the facial nerve were exposed via keyhole approach.After identifying the responsible vessels,a pad of Teflon cotton was gently interposed to maintain the separation of the REZ and the responsible vessels.Function of the acoustic nerves was monitored throughout the procedure by means of brainstem au... |
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| Keywords: | Hemifacial spasm Microsurgery Microvascular decompression Curative effect |
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