[1]丁胜超　贺　峰　贾继明.椎-基底动脉扩张延长症致面肌痉挛的手术治疗[J].中国临床神经外科杂志,2018,(05):308-310.[doi:10.13798/j.issn.1009-153X.2018.05.002]
　DING Sheng-chao,HE Feng,JIA Ji-ming..Surgical treatment of hemifacial spasm caused by vertebrobasilar dolichoectasia[J].,2018,(05):308-310.[doi:10.13798/j.issn.1009-153X.2018.05.002]
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椎-基底动脉扩张延长症致面肌痉挛的手术治疗()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年05期
页码:
308-310
栏目:
论著
出版日期:
2018-05-25

文章信息/Info

Title:
Surgical treatment of hemifacial spasm caused by vertebrobasilar dolichoectasia
文章编号:
1009-153X（2018）05-0308-03
作者:
丁胜超　贺　峰　贾继明
作者单位：100049 北京，航天中心医院神经外科
Author(s):
DING Sheng-chao;  HE Feng;  JIA Ji-ming.
Department of Neurosurgery, Aerospace Center Hospital, Beijing 100049, China
关键词:
椎-基底动脉扩张延长症; 面肌痉挛; 微血管减压术; 双面胶悬吊技术
Keywords:
Hemifacial spasm;  Vertebrobasilar dolichoectasia;  Microvascular decompression;  Surgical skill
分类号:
R 745.1+2; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2018.05.002
文献标志码:
A
摘要:
目的 探讨椎-基底动脉扩张延长症（vertebrobasilar dolichoectasia，VBD）导致面肌痉挛的临床特点及手术方法。方法 回顾性分析7例VBD导致的面肌痉挛的临床资料，3例行常规微血管减压术，4例采用“双面胶悬吊技术”。结果 术后随访6个月~2年，7例均恢复良好；6例面肌抽搐症状完全消失，1例有部分残留；2例出现一过性面瘫，1例出现一过性听力下降，1例出现永久性听力下降；无复发、脑脊液漏、颅内感染、死亡。结论 VBD导致的面肌痉挛手术治疗难度大，并发症多，采用“双面胶悬吊技术”能达到较好的疗效。
Abstract:
Objective To investigate the surgical treatment of hemifacial spasm caused by vertebrobasilar dolichoectasia (VBD). Methods The clinical data of 7 patients with hemifacial spasm caused by the VBD, who were treated in our hospital from July, 2014 to July, 2017, were analyzed resprectively, incluindg preoperative MRI findings, microvascular decompression data and postoperative following-up outcomes. Results Of 7 patients with VBD revealed by preoperative MRI, 3 were treated by the routine microvascular decompression and 4 by "the double-side glue suspension technique", i.e. sticking the offending artery to petrous bone dura in order to keep it away from the facial nerve root exit zone. The hemifacial spasm disappeared completely in 6 patients and there was residual partial facial spasm in 1, but 2 patients had transient facial paralysis after the surgery. Conclusions The surgical treatment of hemifacial spasm caused by VBD is difficult and may cause many complications. The "double-side glue suspension technique", which is a simple and easily practicable technique, can enhance curative effect of surgery on the hemifacial spasm caused by VBD.

参考文献/References:

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[8] Lin CF, Chen HH, Hernesniemi J, et al. An easy adjustable method of ectatic vertebrobasilar artery transposition for microvascular decompression [J]. Clin Neurol Neurosurg, 2012, 114(7): 951-956.
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备注/Memo

备注/Memo:
通讯作者：贾继明，E-mail：dsc888@163.com
更新日期/Last Update: 2018-04-25