论文部分内容阅读
1935年Dandy等对三叉神经痛和半面痉挛行血管减压术有效,已为人们所认可。1936年Lillie等报告1例18岁女孩,左耳痛和耳聋三年,探查术发现不正常的血管压迫听神经和舌咽神经,切断舌咽神经和松解血管,耳痛消失,听力恢复正常。但此后在医学界对此事态一直保持沉寂。将近40年后,著名神经外科医师Jannetta(1975)报告8例有耳蜗前庭症状的病人行第8脑神经血管减压术获效,近10年才正式将典型血管压迫概念应用于第8脑神经有关病症。1977年Bertrand等报告5例桥小脑角血管异常产生的前庭综合征。1978年Shalit等报告1例动脉血管袢压缩听神经,术前疑为听神经瘤。1980年Leclercq等介绍乳突后进路显微手术行听神经血管解压术10例。同年J annetta再度综合报告695例脑神经血管解压术资料,其中第8脑神经解压术38例,并作了全面论述。1983年McC abe等
Dandy in 1935, such as trigeminal neuralgia and hemifacial spasm vasoconstriction effective, has been recognized. 1961 Lillie et al reported a 18-year-old girl, left ear pain and deafness for three years, exploration found abnormal vascular compression of the auditory nerve and glossopharyngeal nerve, cut the glossopharyngeal nerve and release of blood vessels, earache disappeared, hearing returned to normal. However, the situation in the medical community has remained quiet since then. Nearly 40 years later, Jannetta (1975), a famous neurosurgeon, reported that 8 patients with cochlear vestibule were treated with the 8th neurovascular decompression, and the concept of typical vascular compression was formally applied to the 8th cranial nerve Related illness. In 1977, Bertrand et al reported 5 cases of vestibular syndrome caused by abnormal cerebellopontine angle vessels. In 1978 Shalit et al reported 1 case of arterial 袢 compression of the auditory nerve, preoperative suspected acoustic neuroma. In 1980, Leclercq et al introduced 10 cases of neurovascular decompression after microsurgery. In the same year, J annetta once again reported a total of 695 cases of decompressive cerebral cortex data, of which 8 decompressive cranial nerves in 38 cases, and made a comprehensive discussion. 1983 McCabe et al