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微血管减压术治疗面肌痉挛远期疗效
引用本文:梁维邦,倪红斌,姚亮,徐武,韦永祥.微血管减压术治疗面肌痉挛远期疗效[J].江苏医药,2008,34(11):1124-1125.
作者姓名:梁维邦  倪红斌  姚亮  徐武  韦永祥
作者单位:南京市鼓楼医院神经外科破,210008
摘    要:目的 评价微血管减压术(MVD)治疗面肌痉挛的远期疗效.方法 随访186例行MVD面肌痉挛患者,观察术后2年有效率、复发率及相关并发症.结果 随访成功154例,其中109例(70.8%)近期疗效为优,43例(27.9%)为良,2例(1.3%)为差.对术后2年以上的长期疗效随访中143例(92.9%)为优,4例(2.6%)为良,7例(4.5%)为差,其中2例无效,临床有效率为95.5%.部分复发率为2.6%,完全复发率为3.3%.近期并发症发生率:面瘫28例(18.2%),听力下降12例(7.8%),耳鸣7例(3.9%);术后2年以上随访中,面瘫及耳鸣患者全部恢复,12例听力下降患者中3例听力仍有障碍.结论 MVD是面肌痉挛安全、有效的治疗方法.

关 键 词:微血管减压术  面肌痉挛

Long-term outcomes of treating hemifacial spasm with microvascular decompression
LIANG Weibang,NI Hongbin,YAO Liang,et al..Long-term outcomes of treating hemifacial spasm with microvascular decompression[J].Jiangsu Medical Journal,2008,34(11):1124-1125.
Authors:LIANG Weibang  NI Hongbin  YAO Liang  
Institution:LIANG Weibang,NI Hongbin,YAO Liang,et al.Department of Neurosurgery,Nanjing Drum Tower Hospital,Nanjing 210008,CHINA
Abstract:Objective To evaluate the long-term outcomes of treating hemifacial spasm(HFS)with microvascular decompression(MVD).Methods We retrospectively reviewed 186 HFS patients underwent MVD who were followed up for more than 2 years.Results Of the 154 patients who were followed up successfully,early curative effect was excellent in 109(70.8%)cases,good in 43(27.9%)cases,and poor in 2 cases.The long-term(greater than 2 years)follow-up showed that excellent in 143(92.9%)cases,good in 4(2.6%)cases,poor in 7(4.5%)case...
Keywords:Microvasular decompression  Hemifacial spasm  
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