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显微血管减压术治疗椎-基底动脉压迫型面肌痉挛的效果分析
引用本文:刘成龙,王延民,刁云峰,赵万勇,牛学刚,任吉滨,孙洪涛 ?. 显微血管减压术治疗椎-基底动脉压迫型面肌痉挛的效果分析[J]. 天津医药, 2016, 44(9): 1109-1111. DOI: 10.11958/20160357
作者姓名:刘成龙  王延民  刁云峰  赵万勇  牛学刚  任吉滨  孙洪涛 ?
作者单位:1 锦州医科大学武警后勤学院附属医院研究生培养基地(邮编 300162);2天津, 武警后勤学院附属医院脑科医院
摘    要:目的 分析显微血管减压术治疗椎-基底动脉压迫型面肌痉挛的临床效果。 方法 收集我院 141 例经显微血管减压术治疗的面肌痉挛患者, 比较椎-基底动脉压迫型(28 例)与非椎-基底动脉压迫型(113 例)面肌痉挛患者的术后症状改善状况。 结果 平均随访(13.81 ±1.57) 个月 , 两类面肌痉挛的治疗有效率差异无统计学意义(96.43% vs. 98.23%, P=0.49), 其术后延迟治愈率差异亦无统计学意义(37.04% vs. 20.72%, χ2=1.38, P> 0.05)。 结论 显微血管减压术治疗椎-基底动脉压迫型面肌痉挛安全、有效。

关 键 词:显微血管减压术  椎基底动脉  面肌痉挛  
收稿时间:2016-04-26
修稿时间:2016-06-17

The efficacy of microvascular decompression for hemifacial spasm caused by vertebral basilar artery compression
LIU Chenglong,WANG Yanmin,DIAO Yunfeng,ZHAO Wanyong,NIU Xuegang,REN Jibin,SUN Hongtao?. The efficacy of microvascular decompression for hemifacial spasm caused by vertebral basilar artery compression[J]. Tianjin Medical Journal, 2016, 44(9): 1109-1111. DOI: 10.11958/20160357
Authors:LIU Chenglong  WANG Yanmin  DIAO Yunfeng  ZHAO Wanyong  NIU Xuegang  REN Jibin  SUN Hongtao?
Affiliation:1 The Affiliated Hospital of Logistics University of Chinese People’ s Armed Police Forces, the Training Base of Jinzhou Medical University, Tianjin 300162, China;2 Brain Hospital of the Affiliated Hospital of Logistics College of Chinese People’ s Armed Police Forces
Abstract:Objective To analyse the efficacy of microvascular decompression for hemifacial spasm (HFS) caused by vertebral basilar artery compression. Methods A total of 141 patients with HFS treated by microvascular decompression in our hospital were collected in this study. The improvement of the symptoms after operation was compared between patients with HFS caused by vertebral basilar artery compression (28 cases) and patients with HFS caused by non-vertebral basilar artery compression (113 cases). Results There was no significant difference in the effective rate between the two groups of HFS (96.43% vs. 98.23%, P=0.49) with mean following-up 13.81 ±1.57 months. And there was no significant difference in the delayed cure rate after surgery between two groups (37.04% vs. 20.72%, χ2=1.38, P > 0.05). Conclusion Microvascular decompression is a safe and effective method for the treatment of HFS caused by compressed vertebral basilar artery.
Keywords:microvascular decompression   vertebral basilar artery   hemifacial spasm  
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