CAJ | 학술논문

目的了解内镜在显微血管减压术中应用的有效性和安全性。方法系统检索2002年至2014年在显微血管减压术治疗三叉神经痛和面肌痉挛中应用了内镜的中英文文献。根据预先设定的纳入标准筛选文献后采集文献中相关数据，包括：论文作者、通信作者单位、发表时间、病例总数、术后三叉神经痛或面肌痉挛完全消失的病例数、并发症（感染，面部麻木，面瘫，耳鸣，听力下降，脑脊液漏及死亡）发生病例数以及随访时间。统计总的手术完全有效率和并发症发生率。结果在三叉神经痛和面肌痉挛的的研究中，手术完全有效率分别为93％（95％CI：90～96）和94％（95％CI：91～96）。各项并发症的发生率为1％～8％。结论内镜应用于显微血管减压治疗三叉神经痛和面肌痉挛，具有较高的有效性和安全性，但需要较高级别的循证医学证据（随机对照试验）来证实。
목적료해내경재현미혈관감압술중응용적유효성화안전성。방법계통검색2002년지2014년재현미혈관감압술치료삼차신경통화면기경련중응용료내경적중영문문헌。근거예선설정적납입표준사선문헌후채집문헌중상관수거，포괄：논문작자、통신작자단위、발표시간、병례총수、술후삼차신경통혹면기경련완전소실적병례수、병발증（감염，면부마목，면탄，이명，은력하강，뇌척액루급사망）발생병례수이급수방시간。통계총적수술완전유효솔화병발증발생솔。결과재삼차신경통화면기경련적적연구중，수술완전유효솔분별위93％（95％CI：90～96）화94％（95％CI：91～96）。각항병발증적발생솔위1％～8％。결론내경응용우현미혈관감압치료삼차신경통화면기경련，구유교고적유효성화안전성，단수요교고급별적순증의학증거（수궤대조시험）래증실。
Object To investigate the effectiveness and safety of endoscope in microvascular decompression(MVD).Method A comprehensive literature review of articles in both English and Chinese that described the application of endoscopy in MVD for trigeminal neuralgia ( TN ) or hemifacial spasm from 2002 to 2014 . The articles were screened according to predetermined inclusion criteria and data including authors , institution of corresponding author , year of publishing , number of patient population , number of patients without symptoms after surgery , number of patients suffered complications ( infection, hemifacial numbness, hemifacial palsy, tinninus, change of hearing , cerebral spinal fluid leakage and death ) and duration of follow-up were extracted .The pooled rates of success and complication were calculated .Results The pooled success rates in trigeminal neuralgia and hemifacial spasm study were 93%(95%CI:90-96) and 94%(95%CI:91-96 ) respectively , with each compliation rate ranging from 1% to 8%.Conclusion Although endoscopic vascluar decompression for TN and hemifacial spasm is effective and safe , it still needs to be confirmed by studies ( random controled trail ) with high-grade evidence .