The strategy of microvascular decompression for hemifacial spasm: how to decide the endpoint of an MVD surgery
The strategy of microvascular decompression for hemifacial spasm: how to decide the endpoint of an MVD surgery
复制标题
面肌痉挛的微血管减压策略：如何确定MVD手术的终点
DOI：
10.1007/s00701-014-2055-3
复制
发表时间：
2014-03
影响因子：
2.4
通讯作者：
Zheng, Xue-Sheng
中科院分区：
文献类型：
--
作者：
Zhang, Wen-Chuan;Hua, Xu-Ming;Wan, Liang;Zheng, Xue-Sheng
目的微血管减压术(MVD)已成为治疗面肌痉挛的标准方法。由于并非所有患者都能得到完全缓解，这一策略仍然存在争议。本研究旨在找出如何辨别手术的适当终点。方法连续356例面肌痉挛患者纳入本研究。所有患者根据他们出现的时期分为两组。分别应用两种不同的标准(简单标准和复杂标准)来结束手术。比较两组的术中发现、结果及并发症。结果综合评价法的结果优于单纯评价法。综合全身证据、血管证据和电生理证据的综合标准是判断手术终点的可靠标准。结论只有在全身证据、血管证据和电生理证据都存在的情况下，才能结束MVD手术。
ObjectiveMicrovascular decompression (MVD) has become the standard treatment for hemifacial spasm. As not all patients get complete relief, this strategy is still controversial. The study aimed to figure out how to tell the proper endpoint to the surgery.MethodsA series of 356 consecutive patients with hemifacial spasm were enrolled in this study. All patients fell into two groups according to the period they presented. Two different criteria (simple criterion vs. complex criterion) to end an operation were applied respectively. The intra-operative finding, results and complications of these two groups were compared. The advantage of the complex criterion was analyzed.ResultsThe group which used complex criterion got better results than the group which used simple criterion. The complex criterion which combines full-length evidence, vascular evidence and electrophysiological evidence proved to be reliable to tell the proper endpoint to the surgery.ConclusionMVD operations can be ended only after the full-length evidence, vascular evidence and electrophysiological evidence are all present.
登录
查看更多内容
DOI：
--
发表时间：
2003-11
期刊：
Neuro-Chirurgie
影响因子：
--
作者：
V. Marneffe;G. Polo;C. Fischer;M. Sindou
通讯作者：
V. Marneffe;G. Polo;C. Fischer;M. Sindou
影响因子：
4.8
作者：
Kondo, A
通讯作者：
Kondo, A
影响因子：
1.7
作者：
A. Kondo
通讯作者：
A. Kondo
影响因子：
2.4
作者：
Li, Shiting;Hong, Wenyao;Zheng, Xuesheng
通讯作者：
Zheng, Xuesheng
影响因子：
4.4
作者：
Ishikawa, M;Ohira, T;Toya, S
通讯作者：
Toya, S