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目的探讨乙状窦后入路治疗面肌痉挛的术后并发症及其防治措施。方法对近3 a来我科85例微血管降压术所产生的并发症作回顾性分析。结果头痛头晕、恶心、呕吐56例;手术侧听力障碍者9例、耳鸣5例;术后轻度面瘫4例;脑脊液漏5例;发热21例;颅内血肿1例。结论乙状窦后入路治疗面肌痉挛术后并发症发生率较低,可以有效防治,无永久性神经功能障碍。
Objective To investigate the postoperative complications of posterior sigmoid sinus surgery for hemifacial spasm and its prevention and treatment. Methods A retrospective analysis was made on the complications of 85 patients undergoing microvascular decompression in our department in the recent 3 years. Results Headache dizziness, nausea and vomiting in 56 cases; operation-side hearing impairment in 9 cases, tinnitus in 5 cases; postoperative mild facial paralysis in 4 cases; cerebrospinal fluid leakage in 5 cases; fever in 21 cases; intracranial hematoma in 1 case. Conclusion The sigmoid sinus posterior approach for the treatment of hemifacial spasm postoperative complications is low, can effectively prevent and treat without permanent neurological dysfunction.