%0 English Abstract
%T [An analysis of clinical efficacy of microvascular decompression for 21 inpatients suffering from primary hemifacial spasm].
%A Gong L
%A Yu D
%A Wu Y
%A Chen Z
%A Yin S
%J Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
%V 38
%N 5
%D 2024 May
%M 38686471
暂无%R 10.13201/j.issn.2096-7993.2024.05.004
%X Objective:To assess the effectiveness of microvascular decompression（MVD） in treating inpatients suffering from primary hemifacial spasm（HFS）. Methods:A total of 21 inpatients with HFS underwent MVD. The clinical effect was follow up evaluated according to the clinical symptoms until post operative 6 months. Results:The effective rate of MVD for 1 day, 14 days, 1 month, 3 months and 6 months post-operation was 95.2%, 100%, 100%, 100% and 100%, respectively.one patient had transient tinnitus and the symptom disappeared within 6 days postoperatively.one patient developed postoperative incomplete facial paralysis（HB grade IV facial nerve function, grade Ⅱ） and recovered 6 days after surgery; There was no cerebrospinal fluid leakage, intracranial infection, death or disability occurred during follow-up. Conclusion:Microvascular decompression is a safe and effective method for the treatment of primary hemifacial spasm, which is worthy of clinical promotion.<BR>目的：探讨评估面神经微血管减压术治疗原发性半面痉挛的手术疗效。 方法：微血管减压术治疗原发性半面痉挛患者21例，随访至术后6个月，根据患者临床症状评定治疗疗效。 结果：术后第1天、14天、1个月、3个月、6个月有效率分别为95.2％、100％、100％、100％、100％；术后出现耳鸣者1例，术后第6天耳鸣消失；术后出现术侧面瘫1例（术后第1天，术侧面神经功能Ⅱ级），术后第6天痊愈；随访期间无脑脊液漏、颅内感染、死亡和致残等不良事件发生。 结论：微血管减压术是治疗原发性半面痉挛安全、有效的方法，值得临床推广。.