经颅神经内镜下微血管减压术。
Microvascular decompression using a fully transcranial neuroendoscopic approach.
机构信息
Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan City, Hubei Province, China.
Department of Neurology, Renmin Hospital of Wuhan University, Wuhan City, Hubei Province, China.
出版信息
Br J Neurosurg. 2023 Oct;37(5):1375-1378. doi: 10.1080/02688697.2020.1820943. Epub 2021 Jan 25.
OBJECTIVE
To evaluate the effectiveness and safety of microvascular decompression (MVD) using a fully transcranial neuroendoscopic approach.
METHODS
Thirty-one patients who underwent MVD using a fully transcranial neuroendoscopic approach in our department between May 2016 and September 2019 were retrospectively reviewed.
RESULTS
All patients successfully underwent MVD, and immediate pain relief was achieved in all 17 cases of trigeminal neuralgia (TGH) and 3 cases of glossopharyngeal neuralgia (GPN). Hemifacial spasm (HFS) was completely resolved in all 11 patients. No mortality or permanent complication was seen.
CONCLUSIONS
The endoscope is a useful tool for confirming vascular conflict identified by the microscope and is helpful in detecting the vessel responsible for neuralgia without retracting the brain and nerves. MVD using a fully transcranial neuroendoscopic approach is an effective and safe alternative to endoscopic-assisted MVD and traditional MVD.
目的
评估经颅神经内镜下微血管减压术（MVD）的有效性和安全性。
方法
回顾性分析 2016 年 5 月至 2019 年 9 月我科 31 例行经颅神经内镜下 MVD 治疗的患者。
结果
所有患者均成功完成 MVD，17 例三叉神经痛（TGH）和 3 例舌咽神经痛（GPN）患者立即缓解疼痛。11 例面肌痉挛（HFS）患者完全缓解。无死亡或永久性并发症。
结论
内镜是确认显微镜下发现的血管冲突的有用工具，有助于在不牵拉脑和神经的情况下检测到引起神经痛的血管。经颅神经内镜下 MVD 是内镜辅助 MVD 和传统 MVD 的有效且安全的替代方法。
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