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目的:探讨微血管减压术治疗面肌痉挛症的临床疗效。 方法:对 5 3例面肌痉挛症患者在全麻下进行微血管减压术。结果:手术有效 4 8例 (92 .3% ) ,无效 4例 (7.4 % ) ,术后 14个月复发 1例 (1.9% )。并发症 :耳聋 1例 (1.85 % ) ,听力下降 3例 (5 .5 5 % ) ,耳鸣 5例 (9.2 5 % ) ,迟发性面瘫 3例 ,眩晕 5例 (9.2 5 % ) ,脑脊液感染 3例 (5 .5 5 % )。 结论:微血管减压术治疗面肌痉挛症效率高 ,且复发率及并发症的发生率很低。
Objective: To investigate the clinical effect of microvascular decompression in the treatment of hemifacial spasm. Methods: 53 patients with hemifacial spasm were undergone microvascular decompression under general anesthesia. Results: Forty - eight cases (92.3%) were effective and 4 cases (7.4%) were ineffective. One case (1.9%) recurred after 14 months. Complications: deafness in 1 case (1.85%), hearing loss in 3 cases (5.55%), tinnitus in 5 cases (9.2%), delayed facial paralysis in 3 cases, dizziness in 5 cases (9.2%), cerebrospinal fluid infection 3 cases (5.55%). Conclusion: Microvascular decompression in the treatment of hemifacial spasm has high efficiency, and the recurrence rate and the incidence of complications is very low.