CAJ | 학술논문

目的：探讨神经内镜辅助下显微血管减压术(MVD)治疗原发性面肌痉挛(HFS)疾病的价值。方法收集泸州医学院附属医院神经外科2009年3月~2012年4月收治的原发性面肌痉挛患者62例，其中行神经内镜辅助下显微血管减压术的面肌痉挛患者32例(A组)，行传统显微血管减压术的面肌痉挛患者30例(B组)，比较两种治疗方法的手术治愈率、并发症的情况以及术后住院时间。结果责任血管发现：A组32例患者均发现责任血管，B组29例患者发现责任血管；治愈率：A组治愈率为96.9%(31例)，B组治愈率为90.0%(27例)；并发症发生率：A组为15.6%(5例)，B组为26.7%(8例)；住院时间：A组为(8.0±1.3)d，B组为(11.0±2.7)d；上述指标两组比较差异均有统计学意义(P<0.05)。结论神经内镜辅助MVD治疗HFS能避免遗漏责任血管，减少对脑干、颅神经和重要血管的的牵拉损伤，对提高手术效果、减少术后并发症有重要价值。
목적：탐토신경내경보조하현미혈관감압술(MVD)치료원발성면기경련(HFS)질병적개치。방법수집로주의학원부속의원신경외과2009년3월~2012년4월수치적원발성면기경련환자62례，기중행신경내경보조하현미혈관감압술적면기경련환자32례(A조)，행전통현미혈관감압술적면기경련환자30례(B조)，비교량충치료방법적수술치유솔、병발증적정황이급술후주원시간。결과책임혈관발현：A조32례환자균발현책임혈관，B조29례환자발현책임혈관；치유솔：A조치유솔위96.9%(31례)，B조치유솔위90.0%(27례)；병발증발생솔：A조위15.6%(5례)，B조위26.7%(8례)；주원시간：A조위(8.0±1.3)d，B조위(11.0±2.7)d；상술지표량조비교차이균유통계학의의(P<0.05)。결론신경내경보조MVD치료HFS능피면유루책임혈관，감소대뇌간、로신경화중요혈관적적견랍손상，대제고수술효과、감소술후병발증유중요개치。
Objective To explore the value of neuroendoscopy-assisted microvascular decompression (MVD) for the treatment of patients with hemifacial spasm (HFS). Methods 62 cases of patients with HFS admitted in Department of Neurosurgery, the Affiliated Hospital of Luzhou Medical College from March 2009 to April 2012 were selected. All pa-tients were divided into two groups, group A was given neuroendoscopy-assisted microvascular decompression therapy (n=32) and group B was given conventional microvascular decompression therapy (n=30). The cure rate, incidence of common complications, and intraoperative hospital stay were compared among the two groups after treatmen. Results 32 patients of group A were all found the offending vessels, 29 patients of group B were found the offending vessels. The cure rate in group A was 96.9%(31 cases), which was 90.0% (27 cases) in group B, the difference was significant (P<0.05). The incidence of complications in group A was 15.6% (5 cases), which was 26.7% (8 cases) in group B, the dif-ference was significant (P<0.05). The hospital stays was (8.0±1.3) d in group A, which was (11.0 ±2.7) d in group B, the difference was significant (P < 0.05). Conclusion Neuroendoscopy-assisted microvascular decompression for the treatment of hemifacial spasm can avoid missing responsibility blood vessels, decrease the pull damage to brain stem, cranial nerves and blood vessels, which has important value for improving the effect of surgery and reducing postopera-tive complications.