[1]武广永　张志宇　刘　志　周景儒　王栋梁　焦　风　刘如恩.单侧咀嚼肌痉挛的显微手术治疗（附7例分析[J].中国临床神经外科杂志,2017,(12):808-810.[doi:10.13798/j.issn.1009-153X.2017.12.003]
　WU Guang-yong,ZHANG Zhi-yu,LIU Zhi,et al.Curative effect of different surgical methods on unilateral masticatory muscle spasm (report of 7 cases)[J].,2017,(12):808-810.[doi:10.13798/j.issn.1009-153X.2017.12.003]
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单侧咀嚼肌痉挛的显微手术治疗（附7例分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年12期
页码:
808-810
栏目:
论著
出版日期:
2017-12-25

文章信息/Info

Title:
Curative effect of different surgical methods on unilateral masticatory muscle spasm (report of 7 cases)
文章编号:
1009-153X（2017）12-0808-03
作者:
武广永　张志宇　刘　志　周景儒　王栋梁　焦　风　刘如恩
作者单位：100044 北京，北京大学人民医院神经外科（武广永、张志宇、刘　志、周景儒、王栋梁、焦　风、刘如恩）
Author(s):
WU Guang-yong;  ZHANG Zhi-yu;  LIU Zhi;  ZHOU Jing-ru;  WANG Dong-liang;  JIAO Feng LIU Ru-en.
Department of Neurosurgery, People’s Hospital, Peking University, Beijing 100044, China
关键词:
单侧咀嚼肌痉挛; 显微血管减压术; 三叉神经运动支切断术; 疗效
Keywords:
Unilateral masticatory muscle spasm;  Microvascular decompression;  Trigeminal motor branch;  Curative effects
分类号:
R 745.1+1; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2017.12.003
文献标志码:
A
摘要:
目的 探讨单侧咀嚼肌痉挛的显微手术方法及其疗效。方法 回顾性分析2010年3月至2016年9月显微手术治疗的7例单侧咀嚼肌痉挛的临床资料；均行三叉神经运动支显微血管减压术，其中3例同时行三叉神经运动支完全切断术，4例同时行三叉神经运动支部分切断术。术后随访5~87个月。结果 术中发现3例责任血管为小脑上动脉，2例为岩静脉，1例为小脑上动脉和岩静脉，1例无明显责任血管。运动支完全切断的3例中，2例术后症状消失；1例术后症状减轻，3个月后消失；3例随访期间无复发，其中1例颞肌轻度萎缩，未影响面容，未出现张口受限。三叉神经痛运动支部分切断4例中，1例术后症状消失，随访无复发；1例术后症状减轻，随访期间未消失；2例术后症状消失，术后2年症状复发。结论 三叉神经运动支部分切断对不能收到满意疗效。三叉神经运动支完全切断可达到治愈的疗效，部分病人可能会术侧轻度颞肌萎缩。
Abstract:
【Abstract】Objective To observe the effects of different surgical treatments on unilateral masticatory muscle spasm (UMMS). Methods The clinical data of 7 patients with UMMS, of whom, 3 underwent microvascular decompression (MVD) and complete amputation of the trigeminal motor branches (TMB) and 4 MVD and amputation of the partial TMB from March, 2010 to September, 2016, were analyzed retrospectively. All the patients were followed-up by outpatient and telephone interview after the surgery. Results The postoperative symptoms disappeared in 3 undergoing the complete amputation of TMB 1 patient had mild atrophy of temporal muscle and 2 not during the following-up. Of 4 patients undergoing amputation of the partial TMB, 3 had no UMMS again and 1 mild UMMS immediately after the operation. Of 3 patients with disappearance of the symptoms after MVD and amputation of partial TMB, 2 suffered from the UMMS again and 1 did not during the following-up. Conclusions The effect of MVD and partial amputation of TMB on the UMMS was not satisfactory. Complete amputation of TMB can achieve satisfactory outcomes but may lead to mild temporal muscle atrophy in the patients with UMMS.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：刘如恩，E-mail：liure@126.com
更新日期/Last Update: 2017-12-27