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中华神经创伤外科电子杂志 ›› 2025, Vol. 11 ›› Issue (02) : 69 -74. doi: 10.3877/cma.j.issn.2095-9141.2025.02.001

述评

显微血管减压术治疗罕见脑、神经疾患
孙洪涛1,()   
  1. 1. 300162 天津,中国人民武装警察部队特色医学中心神经创伤及修复研究所
  • 收稿日期:2025-03-07 出版日期:2025-04-15
  • 通信作者: 孙洪涛
  • 基金资助:
    军队后勤科研重点项目(KYZZCX2409)

Microvascular decompression for rare brain and nerve disorders

Hongtao Sun1,()   

  1. 1. Institute of Neurotrauma and Repair, Characteristic Medical Center of Chinese People's Armed Police Force, Tianjin 300162, China
  • Received:2025-03-07 Published:2025-04-15
  • Corresponding author: Hongtao Sun
引用本文:

孙洪涛. 显微血管减压术治疗罕见脑、神经疾患[J/OL]. 中华神经创伤外科电子杂志, 2025, 11(02): 69-74.

Hongtao Sun. Microvascular decompression for rare brain and nerve disorders[J/OL]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2025, 11(02): 69-74.

显微血管减压术(MVD)是治疗面肌痉挛和三叉神经痛等常见颅神经疾患的首选术式。近年来,随着显微外科技术的发展,MVD的适用范围逐渐拓展至更罕见的脑、神经疾患,如咀嚼肌痉挛、动眼神经麻痹、神经源性高血压、搏动性耳鸣、中间神经痛、喉痉挛等,这些疾病多因神经血管压迫导致神经传导异常和损伤。MVD通过移除压迫的血管来恢复神经的正常生理功能。本文主要围绕相关罕见疾病的发病机制、诊断标准和治疗策略作一述评,并对MVD在罕见脑、神经疾患中的应用进行系统梳理和探讨,旨在为临床治疗方案的选择提供科学依据。

Microvascular decompression (MVD) is the first-line surgery for common cranial nerve disorders like facial spasms and trigeminal neuralgia. As microsurgical tech advances, MVD is now used for rare brain and nerve disorders such as masseter spasms, oculomotor paralysis, neurogenic hypertension, pulsatile tinnitus, intermediate nerve pain, and laryngospasm, which often stem from nervevessel compression causing abnormal nerve conduction and damage. MVD restores normal nerve function by removing the offending vessels. This article mainly reviews the pathogenesis, diagnostic criteria, and treatment strategies of related rare diseases, and systematically explores the application of MVD in rare brain and nerve disorders, aiming to provide scientific basis for the selection of clinical treatment plans.

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