CAJ | 학술논문

目的针对面肌痉挛患者在接受显微血管减压术后出现的延迟治愈现象进行研究,以获得可信的参考数据来指导预后评估和决定再次手术的时机.方法回顾分析300例具有延迟治愈现象的面肌痉挛患者资料,用统计软件SPSS 15.0对资料进行数据处理.结果延迟治愈时间平均129.0 d,中位数为50 d,95％ CI(105.4,152.5)d.延迟治愈时间与年龄(P=0.045)、病程(P=0.029)呈正相关,与术后抽动减轻程度呈负相关(P＜0.001).42.7％患者存在静止期,平均1.36 d,57.3％的患者静止期不超过24 h.结论至少随访2年后再统计治愈率.如超过半年,面部肌肉抽动症状无缓解甚至持续加重;或已超过2年,面部仍有抽动者可考虑再次手术探查(症状明显缓解者除外);对于年龄较大且病史较长者,需要适当延长随访时间.
목적 침대면기경련환자재접수현미혈관감압술후출현적연지치유현상진행연구,이획득가신적삼고수거래지도예후평고화결정재차수술적시궤.방법 회고분석300례구유연지치유현상적면기경련환자자료,용통계연건SPSS 15.0대자료진행수거처리.결과 연지치유시간평균129.0 d,중위수위50 d,95％ CI(105.4,152.5)d.연지치유시간여년령(P=0.045)、병정(P=0.029)정정상관,여술후추동감경정도정부상관(P＜0.001).42.7％환자존재정지기,평균1.36 d,57.3％적환자정지기불초과24 h.결론 지소수방2년후재통계치유솔.여초과반년,면부기육추동증상무완해심지지속가중;혹이초과2년,면부잉유추동자가고필재차수술탐사(증상명현완해자제외);대우년령교대차병사교장자,수요괄당연장수방시간.
Objective The purpose of this research is to find a credible guideline for prognosis and re-exploration of Hemifacial spasm.Methods To analyze the data of 300 patients with delayed resolution after MVD.Descriptive statistics were performed with SPSS 15.0.Results The mean of time of delayed resolution was 129.0 days,M =50.0 days.The 95％ confidence interval(95％ CI) of delayed resolution was (105.4,152.5) days.Age (P =0.045),course of disease (P =0.029),and post-surgery tic severity (P ＜ 0.001) were significant influences on the delayed resolution.Silent period was found in 42.7％ patients.The mean of silent period was 1.36 days,57.3％ within 24 hours.Conclusion The statistical time of cure rate should not be less than 2 years.Re-operation was reasonable if the symptoms persist more than 2 years(except for the cases of symptoms were relieved) or tend to get worse progressively when followed at least six months.The follow time would been prolonged for elder and/or long suffering.