多模态技术在微血管减压术治疗面肌痉挛中的应用
Jiangsu Medical Journal（2021）
Abstract
目的 观察多模态技术在微血管减压术(MVD)治疗面肌痉挛(HFS)中的应用.方法 179例HFS患者行MVD治疗;其中,98例采用显微镜联合神经内镜,术中应用电生理监测技术和三维重建技术辅助(多模态组),81例采用常规显微镜技术(对照组).比较两组治疗效果和并发症发生情况.结果 两组均顺利完成手术.多模态组治疗有效率高于对照组(93.9％ vs.87.7％)(P＜0.05).多模态组8例出现并发症,包括面听神经功能障碍5例、顽固性眩晕1例、脑脊液漏1例和颅内感染1例.对照组13例出现并发症,其中面听神经功能障碍11例,颅内感染1例,小脑出血1例.多模态组术后面听神经功能障碍发生率较对照组低(5.1％vs.13.6％)(P＜0.05).结论 多模态技术可提高MVD治疗HFS的疗效,减少面听神经功能障碍的发生.
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