CAJ | 학술논문

目的探讨单纯神经内镜显微血管减压术的可行性和技术要点.方法回顾性分析我科2008年12月至2010年12月收治的50例面肌痉挛患者,其中45例采取单纯内镜手术,5例采用内镜辅助显微手术.结果随访期间内镜49例临床症状完全缓解,1例减轻,无小脑梗死及水肿病例,无颅内感染及出血等严重并发症.内镜手术有2例止血困难而在显微镜下完成止血过程.结论神经内镜可以抵近观察,能够避免责任血管的遗漏,疗效确切.还具有对小脑牵拉小、术后并发症少的优点.单纯神经内镜手术能够完成显微血管减压术,该技术经过专业培训能够熟练掌握,值得临床推广.
목적 탐토단순신경내경현미혈관감압술적가행성화기술요점.방법 회고성분석아과2008년12월지2010년12월수치적50례면기경련환자,기중45례채취단순내경수술,5례채용내경보조현미수술.결과 수방기간내경49례림상증상완전완해,1례감경,무소뇌경사급수종병례,무로내감염급출혈등엄중병발증.내경수술유2례지혈곤난이재현미경하완성지혈과정.결론 신경내경가이저근관찰,능구피면책임혈관적유루,료효학절.환구유대소뇌견랍소、술후병발증소적우점.단순신경내경수술능구완성현미혈관감압술,해기술경과전업배훈능구숙련장악,치득림상추엄.
Objective To explore the feasibility and technical points of pure neuroendoscopic microvascular decompression for hemifacial spasm.Methods A retrospective analysis was conducted for 50 patients with hemifacial spasm enrolled in Beijing Shijitan Hospital from Dec.2008 to Dec.2010.5 patients were accepted microscopic microvacular decompression assisted by neuroendoscopy.The other 45 patients accepted pure neuroendoscopic microvacular decompression.Results 49 patients were cured for hemifacial spasm and only 1 patient was alleviated during the follow - up period.There was no cerebellar infarction or contusion.There was no severe complication such as hemorrhage or infection. 2 cases encountered intraoperative hemorrhage and the microscope had to be used for hemostasis.Conclusions The nerves and vasculars could be observed in a little distance under endoscope and missing the responsible arteries chould be avoided.As a minimal invasive and effective procedure,pure neuroendoscopic surgery could accomplish the microvacular decompression for facial nerve after professional training.It is worth in clinical application.