Zhu Chunran, Chong Yulong, Jiang Chenjun, Xu Wu, Wang Jing, Jiang Chengrong, Liang Weibang, Wang Bei
Department of Neurosurgery, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, China.
Affliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Front Neurosci. 2023 Apr 27;17:1161179. doi: 10.3389/fnins.2023.1161179. eCollection 2023.
Microvascular decompression (MVD) is a widely adopted neurosurgery in treating cranial nerve diseases providing long-term pain relief. Improving surgical techniques has been a focus of recent studies. Venous structures such as the sigmoid sinus are essential to protect, and whose risk of destruction during surgery increases with size. The medical records of patients who went through MRI ahead of MVD surgery between Dec 2020 and Dec 2021 were reviewed. Section area of sigmoid sinus calculated from the MRI plane of auditory nerve showed a right dominance of the sinus. The improved method concerning the relationship between affected side and the dominant sigmoid sinus offered a better bone window and surgical field by planning the operation incision in advance. Intraoperative adjustment of the bone flap was avoided, and the risk of destructing the sigmoid sinus was reduced.
微血管减压术（MVD）是一种广泛应用于治疗颅神经疾病以提供长期疼痛缓解的神经外科手术。改进手术技术一直是近期研究的重点。诸如乙状窦等静脉结构必须加以保护，并且其在手术期间被破坏的风险会随着其大小而增加。回顾了2020年12月至2021年12月期间在微血管减压术前接受磁共振成像（MRI）检查的患者的病历。从听神经的MRI平面计算得出的乙状窦截面积显示右侧乙状窦占优势。关于患侧与优势乙状窦之间关系的改进方法通过预先规划手术切口提供了更好的骨窗和手术视野。避免了术中对骨瓣的调整，并降低了破坏乙状窦的风险。
