Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Neurosurgery Unit, Macquarie University, Level 2, Suite 201, 2 Technology Place, Sydney, NSW, 2109, Australia.
Acta Neurochir (Wien). 2019 Jul;161(7):1443-1447. doi: 10.1007/s00701-019-03954-w. Epub 2019 May 29.
Microvascular decompression (MVD) is an effective treatment for drug-resistant trigeminal neuralgia and hemifacial spasm. However, failure of symptomatic improvement can arise from difficulties in identifying and/or decompressing the offending vessel. Microscopic and endoscopic techniques have been used to improve visualisation and safety of the procedure but there are limitations to each technique.
A 3D exoscopic endoscope-assisted MVD technique is described, including advice on potential pitfalls.
Compared with the standard microscope-assisted techniques, the 3D exoscopic endoscope-assisted MVD offers an improved visualisation without compromising the field of view within and outside the surgical field.
微血管减压术（MVD）是治疗药物难治性三叉神经痛和半面痉挛的有效方法。然而，由于识别和/或减压致病血管存在困难，可能导致症状改善失败。显微和内镜技术已被用于提高手术的可视化和安全性，但每种技术都有其局限性。
介绍一种 3D 外窥镜辅助 MVD 技术，包括对潜在陷阱的建议。
与标准显微镜辅助技术相比，3D 外窥镜辅助 MVD 提供了更好的可视化效果，同时不影响手术视野内外的视野。
