| 全程减压与传统减压治疗面肌痉挛的疗效对比 |
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| 引用本文： | 李火平,洪文瑶,仲骏,李世亭. 全程减压与传统减压治疗面肌痉挛的疗效对比[J]. 中国微侵袭神经外科杂志, 2011, 16(3): 113-115 |
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| 作者姓名： | 李火平 洪文瑶 仲骏 李世亭 |
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| 作者单位： | 1. 200092,上海交通大学医学院附属新华医院神经外科;202157,上海市崇明县堡镇人民医院神经外科
2. 上海交通大学医学院附属新华医院神经外科,200092 |
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| 摘 要： | 目的比较全程微血管减压与传统减压在治疗面肌痉挛中的不同疗效。方法研究分析298例面肌痉挛病人的临床资料,按手术方式分为两组:传统减压组186例,行面神经根出脑干区减压;全程减压组112例,行面神经根全程减压。对比分析2组病人术后2周的手术效果。结果传统减压组症状完全缓解172例(92.5%),明显减轻3例(1.6%),无效11例(5.9%);全程减压组症状完全缓解110例(98.2%),明显减轻2例(1.8%)。两组比较有效率差异具有统计学意义(P<0.05),并发症发生率差异无统计学意义(P>0.05)。结论面神经根全程减压,并隔离所有可疑责任血管是提高手术疗效的关键;术后早期症状完全缓解率是衡量手术成功的有效指标。
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| 关 键 词： | 面部单侧痉挛 微血管减压 显微外科手术 |
Comparison for the efficiency of whole-range and traditional microvascular decompressions in facial spasm |
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| Li Huoping,Hong Wenyao,Zhong Jun,Li Shiting. Comparison for the efficiency of whole-range and traditional microvascular decompressions in facial spasm[J]. Chinese Journal of Minimally Invasive Neurosurgery, 2011, 16(3): 113-115 |
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| Authors: | Li Huoping Hong Wenyao Zhong Jun Li Shiting |
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| Affiliation: | Li Huoping1,2,Hong Wenyao1,Zhong Jun1,Li Shiting1 1.Department of Neurosurgery,Xinhua Hospital,Medical College of Shanghai Jiaotong University,Shanghai 200092,China,2.Department of Neurosurgery,Baozhen People's Hospital,Chongming County,Shanghai 202157 |
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| Abstract: | Objective To compare the efficiency of whole-range and traditional microvascular decompression(MVD) in facial spasm.Methods Two hundred and ninety-eight patients with facial spasm were analyzed of clinical data and divided into two groups according to surgical modality: decompression of facial root exit zone was performed in traditional MVD group in 186 patients,and whole-range decompression of facial root was performed in whole-range MVD group in 112.The surgical results of both groups were analyzed compar... |
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| Keywords: | hemifacial spasm microvascular decompression microsurgery |
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