CAJ | 학술논문

目的探讨面肌痉挛微血管减压术中隐匿性责任血管的辨认和处理方法.方法回顾性分析青岛市立医院85例面肌痉挛微血管减压术中7例隐匿性责任血管的面肌痉挛病人的临床资料.7例术中探查时未发现直接压迫面神经出脑干端(REZ)的责任血管,但在REZ近颅底侧发现游离状微血管随脑波动压迫REZ,我们采用了Teflon棉包绕REZ减压法,阻止血管对REZ的波动性压迫.结果 7例隐匿性责任血管,均为小脑前下动脉或其分支.术后6例症状立即缓解,1例发作减少,但2个月后完全缓解,随访半年以上无复发.结论微血管减压术是面肌痉挛的首选治疗方法,术中找到责任血管,特别是隐匿性责任血管,合理解除REZ的压迫是手术疗效的保证.
목적 탐토면기경련미혈관감압술중은닉성책임혈관적변인화처리방법.방법 회고성분석청도시립의원85례면기경련미혈관감압술중7례은닉성책임혈관적면기경련병인적림상자료.7례술중탐사시미발현직접압박면신경출뇌간단(REZ)적책임혈관,단재REZ근로저측발현유리상미혈관수뇌파동압박REZ,아문채용료Teflon면포요REZ감압법,조지혈관대REZ적파동성압박.결과 7례은닉성책임혈관,균위소뇌전하동맥혹기분지.술후6례증상립즉완해,1례발작감소,단2개월후완전완해,수방반년이상무복발.결론 미혈관감압술시면기경련적수선치료방법,술중조도책임혈관,특별시은닉성책임혈관,합리해제REZ적압박시수술료효적보증.
Objective To investigate the recognition and approach of the hidden related vascular in hemifacial spasm patients during the operation of microvascular decompression.Methods The clinical records of 85 patients of hemifacial spasm were analyzed at our hospital.The hidden related vessel was found in 7 patients.REZ(root entry zone)was surrounded bry Teflon cotton slice to separate the vessel from REZ. Results There were 7 patients of hidden related vessel in 85 patients.And the related vessels were anterioinferior cerebellar artery and its branches.The symptoms became totally relieved after operation and there Wag no recurrence.Conclusion The microvascular decompression is an effectively treatment for hemifacial spasm patients.Searching for the related vessel(particularly hidden related vessel)is the most important part of the operation.An effective decompression of REZ is the key point of operation.