Gong Lina, Yu Dongzhen, Wu Yaqin, Chen Zhengnong, Yin Shankai
Department of Skull Base Surgery Center，Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine，China，200233，China.
Department of Otolaryngology-Head and Neck Surgery，Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 May;38(5):372-375. doi: 10.13201/j.issn.2096-7993.2024.05.004.
To assess the effectiveness of microvascular decompression（MVD） in treating inpatients suffering from primary hemifacial spasm（HFS）. A total of 21 inpatients with HFS underwent MVD. The clinical effect was follow up evaluated according to the clinical symptoms until post operative 6 months. The effective rate of MVD for 1 day, 14 days, 1 month, 3 months and 6 months post-operation was 95.2%, 100%, 100%, 100% and 100%, respectively.one patient had transient tinnitus and the symptom disappeared within 6 days postoperatively.one patient developed postoperative incomplete facial paralysis（HB grade IV facial nerve function, grade Ⅱ） and recovered 6 days after surgery; There was no cerebrospinal fluid leakage, intracranial infection, death or disability occurred during follow-up. Microvascular decompression is a safe and effective method for the treatment of primary hemifacial spasm, which is worthy of clinical promotion.
评估微血管减压术（MVD）治疗原发性面肌痉挛（HFS）住院患者的有效性。共有21例HFS住院患者接受了MVD治疗。根据临床症状对临床效果进行随访评估，直至术后6个月。术后1天、14天、1个月、3个月和6个月MVD的有效率分别为95.2%、100%、100%、100%和100%。1例患者出现短暂耳鸣，症状在术后6天内消失。1例患者术后出现不完全性面瘫（House-Brackmann面神经功能分级IV级，II级），术后6天恢复；随访期间未发生脑脊液漏、颅内感染、死亡或残疾。微血管减压术是治疗原发性面肌痉挛的一种安全有效的方法，值得临床推广。
