微血管减压术在面肌痉挛治疗中的应用现状
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v7i2.13388
Abstract
微血管减压术(MVD)是目前治疗面肌痉挛最有效的外科方法,其通过解除面神经根部血管压迫来消除症状。大量临床研究表明,MVD具有较高的治愈率和长期疗效稳定性,显著优于肉毒毒素注射和药物治疗等保守疗法。随着内镜技术、神经导航系统和术中电生理监测的应用,手术精准度和安全性得到显著提升。虽然术后可能出现听力损伤、面瘫等并发症,但通过精细化手术操作和严格围手术期管理可有效控制风险。本文将详细探讨MVD在面肌痉挛治疗中的应用现状,包括其适应症、手术技术、临床效果及并发症管理,并展望未来的研究方向。
Keywords
微血管减压术；面肌痉挛；临床效果；并发症
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[3] Lee S,Joo K M,Park K.Challenging microvascular decompr ession surgery for hemifacial spasm[J]. World Neurosurgery, 2021,151:e94-e99.
[4] Hughes MA, Traylor KS, Branstetter Iv BF, et al. Imaging predictors of successful surgical treatment of hemifacial spasm.Brain Commun.2021 Aug6;3(3):fcab146.
[5] Jia A, Dou NN, Zhong J. Microvascular decompression for pediatric-onset hemifacial spasm: case series and literature review.Childs Nerv Syst.2022Jul;38(7):1307-1312.
[6] Xu S, Liu X, Zhao W, et al. Extracranial Radiofrequency Treatment for Painful Tic Convulsif Syndrome Under Local Anesthesia.Pain Ther.2022Jun;11(2):723-729.
[7] Bhagwat AA, Deogaonkar M, Deopujari CE. Microsurgery and Neuromodulation for Facial Spasms. Neurol India. 2020 Nov-Dec;68(Supplement):S196-S201.
[8] Hou X,Xu R X, Tang J, et al. Comparative study of CTA/CTV and MRTA for preoperative simulation of microvascular decom pression in neurovascular compression syndromes[J].Neurosur gical Review,2024,47(1):591.
[9] Shi H,Li Y,Wang Y,et al.Effective Control of Postopera tive Cerebrospinal Fluid Leakage by Modified Microvascular Decompression in Patients with Hemifacial Spasm. Altern Ther Health Med.2023 Apr;29(3):43-47.
[10] Traylor KS, Sekula RF, Eubanks K, et al. Prevalence and severity of neurovascular compression in hemifacial spasm patients.Brain.2021;144(5):1482-1487.
[11] Girard B,de Saint Sauveur G,Tatry M, et al. Hemifacial spasm.Etiology and management.J Fr Ophtalmol.2021;44(3):382-390.
[12] 黄俊萍,兰雪婷,赵冠焱,等.面肌痉挛的发病机制及临床治疗方法研究进展[J].系统医学,2023,8(04):194-198.
[13] Bae SH,Jeon Y, Hong CK, et al. Is the cochleovestibular nerve function affected in patients with hemifacial spasm? Acta Neurol Belg.2023;123(1):93-97.
[14] Bauman MM, Carlstrom LP, Link MJ. Surgical Treatment of Hemifacial Spasm via Microvascular Decompression of a Lar ge,Ectatic Vertebral Artery.J Neurol Surg Rep.2024;85(1):e23-e24.
[15] Ambuj Kumar, Ahmed Ansari, Yasuhiro Yamada, et al. Hearing Outcomes after Microvascular Decompression for Hemifacial Spasm: An Institutional Experience. Asian J Neuro surg.2020;15(2):344-348.
[16] Shusaku Noro,Bunsho Asayama,Yuki Amano,et al. Surgi cal Techniques for Microvascular Decompression in Hemifacial Spasm.No Shinkei Geka.2024;52(1):119-128.
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