天津医药

天津医药 ›› 2016, Vol. 44 ›› Issue (9): 1109-1111.doi: 10.11958/20160357

• 临床研究 • 上一篇    下一篇

显微血管减压术治疗椎-基底动脉压迫型面肌痉挛的效果分析

刘成龙 1， 王延民 2， 刁云峰 2， 赵万勇 1， 牛学刚 1， 任吉滨 1， 孙洪涛 2?   

  1. 1 锦州医科大学武警后勤学院附属医院研究生培养基地（邮编 300162）；2天津， 武警后勤学院附属医院脑科医院
  • 收稿日期:2016-04-26 修回日期:2016-06-17 出版日期:2016-09-15 发布日期:2016-09-28
  • 通讯作者: 孙洪涛 E-mail:chenmo333@163.com
  • 作者简介: 刘成龙（1988）， 男， 硕士在读， 主要从事功能神经外科研究

The efficacy of microvascular decompression for hemifacial spasm caused by vertebral basilar artery compression

LIU Chenglong1, WANG Yanmin2, DIAO Yunfeng2, ZHAO Wanyong1, NIU Xuegang1, REN Jibin1, SUN Hongtao2?   

  1. 1 The Affiliated Hospital of Logistics University of Chinese People’ s Armed Police Forces, the Training Base of Jinzhou Medical University, Tianjin 300162, China；2 Brain Hospital of the Affiliated Hospital of Logistics College of Chinese People’ s Armed Police Forces
  • Received:2016-04-26 Revised:2016-06-17 Published:2016-09-15 Online:2016-09-28
  • Contact: SUN Hongtao E-mail:chenmo333@163.com

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摘要： 目的 分析显微血管减压术治疗椎-基底动脉压迫型面肌痉挛的临床效果。 方法 收集我院 141 例经显微血管减压术治疗的面肌痉挛患者， 比较椎-基底动脉压迫型（28 例）与非椎-基底动脉压迫型（113 例）面肌痉挛患者的术后症状改善状况。 结果 平均随访（13.81 ±1.57） 个月 ， 两类面肌痉挛的治疗有效率差异无统计学意义（96.43% vs. 98.23%， P=0.49）， 其术后延迟治愈率差异亦无统计学意义（37.04% vs. 20.72%， χ2=1.38， P＞ 0.05）。 结论 显微血管减压术治疗椎-基底动脉压迫型面肌痉挛安全、有效。

关键词: 显微血管减压术, 椎基底动脉, 面肌痉挛

Abstract:  Objective To analyse the efficacy of microvascular decompression for hemifacial spasm (HFS) caused by vertebral basilar artery compression. Methods A total of 141 patients with HFS treated by microvascular decompression in our hospital were collected in this study. The improvement of the symptoms after operation was compared between patients with HFS caused by vertebral basilar artery compression (28 cases) and patients with HFS caused by non-vertebral basilar artery compression (113 cases). Results There was no significant difference in the effective rate between the two groups of HFS (96.43% vs. 98.23%， P=0.49) with mean following-up 13.81 ±1.57 months. And there was no significant difference in the delayed cure rate after surgery between two groups (37.04% vs. 20.72%, χ2=1.38, P > 0.05). Conclusion Microvascular decompression is a safe and effective method for the treatment of HFS caused by compressed vertebral basilar artery.

Key words: microvascular decompression, vertebral basilar artery, hemifacial spasm