【摘要】 目的探讨经枕下乙状窦后入路血管减压术(MVD)治疗面肌痉挛(HFS)的临床效果及其相关并发症。方法选取潍坊医学院2013年4月—2015年2月收治的HFS患者42例,均于显微镜下经枕下乙状窦后入路行MVD治疗,观察患者的治疗效果及其并发症发生情况。结果行MVD后,多数患者治愈,均未出现听力下降或丧失、面瘫、小脑半球损伤、出血等严重并发症发生。结论 HFS患者经枕下乙状窦后入路行MVD治疗HFS效果明显,但仍需通过不断完善手术操作细节及显微镜新技术的普及应用进一步预防手术并发症发生。更多还原

【Abstract】 Objective To discuss the clinical effect and the related complications of microvascular decompression surgery( MVD) for hemifacial spasm( HFS) through the suboccipital retrosigmoid approach. Methods A total of 42 cases of HFS patients were selected from April 2013 to February 2015 in Weifang Medical University,all patients were treated with MVD through the suboccipital retrosigmoid approach. The treatment effect and complications were observed. Results After MVD,most of patients were cured,there was no hearing loss,facial paralysis,cerebellar hemisphere injury or bleeding happening.Conclusion MVD through the suboccipital retrosigmoid approach has an obviously clinical effect in treating HFS,but continuous improve the operation details and application of new microscope technology can prevent the complications.更多还原