| 李艳贞,林 艳,刘 倩,刘海佳,周 萍.微血管减压术治疗面肌痉挛术后相关并发症的临床分析[J].,2019,19(11):2086-2090 |
| 微血管减压术治疗面肌痉挛术后相关并发症的临床分析 |
| Clinical Analysis of Postoperative Complications after Microvascular Decompression for Hemifacial Spasm |
| 投稿时间：2018-10-28 修订日期：2018-11-23 |
| DOI：10.13241/j.cnki.pmb.2019.11.017 |
| 中文关键词: 面肌痉挛 微血管减压术 并发症 |
| 英文关键词: Hemifacial spasm Microvascular decompression Complications |
| 基金项目:国家自然科学基金项目(81671205)；上海市科委科研基金项目(16DZ2341800) |
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| 中文摘要: |
| 摘要 目的：总结面肌痉挛患者的术后并发症的发生情况并分析其原因。方法：回顾性分析了1548名在我院行微血管减压术治疗面肌痉挛的患者的临床资料，所有患者接受电话随访或者门诊随访，随访时间均超过2年，总结其临床疗效及术后并发症的发生情况。结果：微血管减压术后痊愈率及明显缓解率分别为92.5%及4.2%。249名(16.09%)患者出现不同的并发症，其中最常见的并发症为面瘫及术后手术区域皮肤感觉障碍，无死亡及重大并发症患者。听力损害发生率为3.5%。其他并发症包括脑脊液漏、后组颅神经损伤、外展神经损伤、颅内出血等。结论：微血管减压术是治疗面肌痉挛的安全有效操作，以手术区域感觉障碍及迟发性面瘫是主要的并发症，持久性的或者严重的并发症比较少见。 |
| 英文摘要: |
| ABSTRACT Objective: To summarize the incidence of postoperative complications in patients with hemifacial spasm and analyze the causes. Methods: The clinical data of 1548 patients with hemifacial spasm (HFS) treated by microvascular decompression (MVD) in our hospital were retrospectively analyzed. All patients received telephone follow-up or outpatient follow-up for more than 2 years. Results: After the MVD, the cure rate and the obvious remission rate were 92.5% and 4.2% respectively. 249 (16.09%) patients had different com- plications, among which the most common complications were facial paralysis and postoperative skin sensory disorders, and no death or major complications. The incidence of hearing impairment was 3.5%. Other complications included cerebrospinal fluid leakage, posterior cranial nerve injury, abducens nerve injury, intracranial hemorrhage and so on. Conclusion: MVD is a safe and effective procedure for the treatment of HFS. Sensory disturbance and delayed facial paralysis are the main complications, and persistent or severe complications are rare. |
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