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目的 探讨内镜辅助下微血管减压术与常规显微血管减压术治疗面肌痉挛的临床效果与安全性.方法 选取面肌痉挛患者120例,随机分为观察组和对照组,每组60例,观察组采用内镜辅助下微血管减压术,对照组采用常规显微血管减压术.结果 术中观察组明确责任血管的有效率明显高于对照组;治疗后观察组显效率与总治愈率明显高于对照组,术后并发症及复发率明显低于对照组,差异均有统计学意义(P<0.05).结论 内镜下行微血管减压术与常规显微血管减压术治疗面肌痉挛相比,前者对术者的操作技巧要求更高,更具安全性和可行性,治疗效果显著.“,”Objective To investigate the clinical effect and security of endoscope assisted microvascular decompression and conventional microvascular decompression on hemifacial spasm.Methods A total of 120 cases of hemifacial spasm were randomly divided into observation group and control group, endoscopic assisted microvascular decompression was used in the observation group, the control group was treated by conventional microvascular decompression.Results The efficiency of explicit offending vessels in operation of the observation group was significantly higher than that of the control group.After treatment, the significant efficiency and total cure rate of the observation group were significantly higher than those of the control group, postoperative complications and recurernce rate were significantly lower than those of the control group, the differences were significant(P<0.05).Conclusion Compared with endoscopic microvascular decompression and conventional microvascular decompression for treatment of hemifacial spasm, the former requires more operating skills for the operator, more security and feasibility.The treatment effect is significant.