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- W2985737655 abstract "Objective: To compare the difference of hearing loss after microvascular decompression for hemifacial spasm between control and experimental groups, and to explore the possible causes. Methods: A retrospective analysis including 443 patients was performed, including 203 cases of group A (before the operation was improved) and 240 cases of group B (after the operation was improved). Chi-square test was used to compare the rate of hearing loss. Results: There were 18(8.9%) cases with postoperative hearing loss in group A, including 9 cases of conductive hearing loss and 9 cases of sensorineural hearing loss.While 2 cases of conductive hearing loss and 3 cases of sensorineural hearing loss occurred in group B. Conductive hearing loss and sensorineural hearing loss of two groups had the significant deference (P=0.015 and P=0.04). Conclusion: The type of hearing loss after microvascular decompression for hemifacial spasm included conductive and sensorineural hearing loss.It could be reduced by early closing of the mastoid air chamber, avoiding continuous traction of the cerebellum, avoiding excessive irrigation and exhaust, and intraoperative auditory brainstem evoked potential monitoring.目的： 分析手术措施改进前后，面神经微血管减压术后听力丧失发生率的差异，并探讨其原因。 方法： 回顾性分析2014年2月至2016年1月河南省人民医院行面神经微血管减压术的443例患者临床资料，其中手术措施改进前患者(A组)203例，改进后(B组)240例。比较措施改进前后听力丧失的发生率。 结果： 措施改进前的203例患者，术后出现听力丧失18例(8.9%)，传导性9例，感音神经性9例；措施改进后的240例患者，术后发生听力丧失5例(2.1%)，其中传导性2例，感音神经性3例。χ(2)检验结果显示两组在传导性(P＝0.015)和感音神经性(P＝0.04)听力丧失方面的差异均有统计学意义。 结论： 面神经微血管减压术后听力丧失可以为传导性或感觉神经性，通过早期封闭乳突气房、避免持续牵拉小脑、避免过度灌水排气及术中听觉脑干诱发电位监护等措施可以减少发生。." @default.
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- W2985737655 date "2017-08-15" @default.
- W2985737655 modified "2023-10-18" @default.
- W2985737655 title "[The study of hearing loss after microvascular decompression for hemifacial spasm]." @default.
- W2985737655 doi "https://doi.org/10.3760/cma.j.issn.0376-2491.2017.31.014" @default.
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