摘要
目的通过与显微镜常规骨窗入路比较,分析神经内镜锁孔入路治疗三叉神经痛和面肌痉挛的临床效果。方法对本院神经外科2018年1月至2022年12月的41例三叉神经痛和面肌痉挛患者进行手术治疗,按照手术方式差异,分为观察组(神经内镜锁孔入路21例)和对照组(显微镜常规骨瓣入路20例),两组均采用微血管减压术,比较手术时间、术后2周和1年的临床疗效,术后并发症发生率,术后复发率、满意率和推荐率。结果两组手术时间和术后2周治疗总有效率比较,差异无统计学意义(均P>0.05);术后1年,观察组治疗总有效率比对照组高(P<0.05);术后1年,观察组并发症总发生率低于对照组(P<0.05);术后1年,两组复发率差异无统计学意义(P>0.05);观察组满意率和推荐率都高于对照组(均P<0.05)。结论神经内镜锁孔入路微血管减压术治疗三叉神经痛和面肌痉挛安全可靠,具有更好的远期疗效,可有效降低并发症发生率。
Objective To analyze the clinical effects of neuroendoscopic keyhole approach in the treatment of facial trigeminal neuralgia and hemifacial spasm compared with conventional bone window approach.Methods From January 2018 to December 2022,41 patients with trigeminal neuralgia and hemifacial spasm in the Department of Neurosurgery of our hospital were treated with surgical treatment.According to the differences in surgical methods,they were divided into the observation group(21 cases through neuroendoscopic keyhole approach)and the control group(20 cases through microscopic routine bone flap approach).Microvascular decompression was performed in both groups.The time of operation,the clinical effect of 2 weeks and 1 year after surgery,the incidence of postoperative complications,the recurrence rate,the satisfaction rate and the recommendation rate were compared.Results There was no significant difference in operation time and total effective rate 2 weeks after operation between the two groups(all P>0.05).One year after operation,the total effective rate of observation group was higher than that of control group(P<0.05).One year after operation,the total complication rate of observation group was lower than that of control group(P<0.05).At 1 year after operation,there was no significant difference in recurrence rate between the two groups(P>0.05).The satisfaction rate and recommendation rate of the observation group were higher than those of the control group(all P<0.05).Conclusions endoscopic keyhole approach microvascular decompression is safe and reliable in the treatment of trigeminal neuralgia and hemifacial spasm.It has better long-term efficacy and can effectively reduce the incidence of complications.
作者
刘青
LIU Qing(Department of Neurosurgery,Pei County People's Hospital,Xuzhou 221600,China)
出处
《中国医药指南》
2024年第11期83-86,共4页
Guide of China Medicine
关键词
三叉神经痛
面肌痉挛
内镜锁孔入路
微血管减压术
Trigeminal neuralgia
hemifacial spasm
Endoscopic keyhole approach
Microvascular decompression
