微血管减压术治疗面肌痉挛术后相关并发症的临床分析

目的:总结面肌痉挛患者的术后并发症的发生情况并分析其原因。方法:回顾性分析了1548名在我院行微血管减压术治疗面肌痉挛的患者的临床资料,所有患者接受电话随访或者门诊随访,随访时间均超过2年,总结其临床疗效及术后并发症的发生情况。结果:微血管减压术后痊愈率及明显缓解率分别为92.5%及4.2%。249名(16.09%)患者出现不同的并发症,其中最常见的并发症为面瘫及术后手术区域皮肤感觉障碍,无死亡及重大并发症患者。听力损害发生率为3.5%。其他并发症包括脑脊液漏、后组颅神经损伤、外展神经损伤、颅内出血等。结论:微血管减压术是治疗面肌痉挛的安全有效操作,以手术区域感觉障碍及迟发性面瘫是主要的并发症,持久性的或者严重的并发症比较少见。

Clinical Analysis of Postoperative Complications after Microvascular Decompression for Hemifacial Spasm

ABSTRACT Objective: To summarize the incidence of postoperative complications in patients with hemifacial spasm and analyze the causes. Methods: The clinical data of 1548 patients with hemifacial spasm (HFS) treated by microvascular decompression (MVD) in our hospital were retrospectively analyzed. All patients received telephone follow-up or outpatient follow-up for more than 2 years. Results: After the MVD, the cure rate and the obvious remission rate were 92.5% and 4.2% respectively. 249 (16.09%) patients had different com- plications, among which the most common complications were facial paralysis and postoperative skin sensory disorders, and no death or major complications. The incidence of hearing impairment was 3.5%. Other complications included cerebrospinal fluid leakage, posterior cranial nerve injury, abducens nerve injury, intracranial hemorrhage and so on. Conclusion: MVD is a safe and effective procedure for the treatment of HFS. Sensory disturbance and delayed facial paralysis are the main complications, and persistent or severe complications are rare.