An analysis of clinical efficacy of microvascular decompression for 21 inpatients suffering from primary hemifacial spasm
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摘要: 目的 探讨评估面神经微血管减压术治疗原发性半面痉挛的手术疗效。方法 微血管减压术治疗原发性半面痉挛患者21例, 随访至术后6个月, 根据患者临床症状评定治疗疗效。结果 术后第1天、14天、1个月、3个月、6个月有效率分别为95.2%、100%、100%、100%、100%;术后出现耳鸣者1例, 术后第6天耳鸣消失; 术后出现术侧面瘫1例(术后第1天, 术侧面神经功能Ⅱ级), 术后第6天痊愈; 随访期间无脑脊液漏、颅内感染、死亡和致残等不良事件发生。结论 微血管减压术是治疗原发性半面痉挛安全、有效的方法, 值得临床推广。Abstract: Objective To assess the effectiveness of microvascular decompression(MVD) in treating inpatients suffering from primary hemifacial spasm(HFS).Methods A total of 21 inpatients with HFS underwent MVD. The clinical effect was follow up evaluated according to the clinical symptoms until post operative 6 months.Results The effective rate of MVD for 1 day, 14 days, 1 month, 3 months and 6 months post-operation was 95.2%, 100%, 100%, 100% and 100%, respectively.one patient had transient tinnitus and the symptom disappeared within 6 days postoperatively.one patient developed postoperative incomplete facial paralysis(HB grade Ⅳ facial nerve function, grade Ⅱ) and recovered 6 days after surgery; There was no cerebrospinal fluid leakage, intracranial infection, death or disability occurred during follow-up.Conclusion Microvascular decompression is a safe and effective method for the treatment of primary hemifacial spasm, which is worthy of clinical promotion.
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表 1 原发性HFS程度分级
例 分级 术前 术后 第1天 第14天 1个月 3个月 6个月 0级 0 1 3 9 20 21 Ⅰ级 0 1 9 9 1 0 Ⅱ级 0 12 8 3 0 0 Ⅲ级 6 7 1 0 0 0 Ⅳ级 15 0 0 0 0 0 
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表 2 微血管减压术后不同时间原发性HFS疗效
例 疗效 第1天 第14天 1个月 3个月 6个月 完全缓解 1 3 9 20 21 明显缓解 13 17 12 1 0 部分缓解 6 1 0 0 0 无效 1 0 0 0 0
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