CAJ | 학술논문

　　目的探讨责任动脉悬吊法在显微血管减压术治疗颅神经血管压迫综合征中的应用。方法回顾在颅神经血管压迫综合征显微血管减压术中应用悬吊法19例资料，包括面肌痉挛13例，三叉神经痛6例。结果术后总有效率100％，治愈率94.7％（18/19），随防3-24个月，平均10.1个月，随访期间治愈率94.7％（18/19），无复发病例。术后并发症包括：无菌性脑膜炎1例，出院时治愈，轻度面瘫及听力下降1例，面部麻木1例，随访期间均自愈。结论在责任血管粗大、迂曲变长或穿支较多，难以常规减压的情况下，悬吊法的应用可提高手术有效率，降低手术并发症，是对传统显微血管减压术的有益补充和改良。
　　목적탐토책임동맥현조법재현미혈관감압술치료로신경혈관압박종합정중적응용。방법회고재로신경혈관압박종합정현미혈관감압술중응용현조법19례자료，포괄면기경련13례，삼차신경통6례。결과술후총유효솔100％，치유솔94.7％（18/19），수방3-24개월，평균10.1개월，수방기간치유솔94.7％（18/19），무복발병례。술후병발증포괄：무균성뇌막염1례，출원시치유，경도면탄급은력하강1례，면부마목1례，수방기간균자유。결론재책임혈관조대、우곡변장혹천지교다，난이상규감압적정황하，현조법적응용가제고수술유효솔，강저수술병발증，시대전통현미혈관감압술적유익보충화개량。
Objective To study the application of offending artery suspension method in microvascular decompression for the treatment of Cranial Neurovascular Depression Syndrome. Method The offending artery suspension method was used in microvaseular decompression to treat Cranial Neurovascular Depression Syndrome,including hemifacial spasm(13 cases), trigeminal neuralgia(6 cases). Results The postoperative total effective rate was 100%,the postoperative curative rate was 94.7%(18/19).Folow-up for 3-24 months, average 10.1 months. the final curative rate was 94.7%(18/19).There was no recurrent case.The postoperative complications included: 1 cases of aseptic meningitis, cured discharge, mild facial paralysis and hearing loss in 1 cases, 1 cases of facial numbness, during folow-up were self-healing.Conclusion When the offending artery is thick or tortuous and prolonged or perforator artery more, it is difficult for traditional microvascular decompression surgery. Application of suspension method can improve the operation efficiency, reduce operation complications, is a beneficial supplement and improvement to the traditional microvascular decompression surgery.