Microscopic and neuroendoscopy assisted microvascular decompression: a Meta-analysis
10.3760/cma.j.issn.1671-8925.2017.10.007
- VernacularTitle:显微镜下和神经内镜下行显微血管减压术的Meta分析
- Author:
Chenglong LI
1
;
Zefu LI
;
Meng LI
;
Yongliang LIU
;
Pengfei LIU
;
Wei SHAO
;
Zhenzhu LI
Author Information
1. 滨州医学院附属医院神经外科
- Keywords:
Neuroendoscopy;
Microscopy;
Microvascular decompression;
Meta-analysis
- From:
Chinese Journal of Neuromedicine
2017;16(10):1003-1008
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacies of endoscopy-assisted microvascular decompression and microscopic microvascular decompression.Methods PubMed,Cochrane Library,Embase,VIP,CNKI and Wanfang database were retrieved.The randomized controlled trials comparing trigeminal neuralgia and hemifacial spasm treated with endoscopy-assisted microvascular decompression and microscopic microvascular decompression were chosen.The retrieval time was from the establishment of the database to April 1st,2017.After the detected literatures being screened,extracted and evaluated,a Meta-analysis was performed using RevMan 5.3 software.Results Finally,a total of 10 trials with 1010 patients were enrolled.The results of Meta-analysis showed:(1) in the aspect of effectiveness,patients from the neuroendoscope group had significantly better prognosis (RR=1.110,95％CI:1.060-1.160,P=0.000) and statistically lower relapse rate (RR=0.100,95％CI:0.020-0.530,P=0.007) as compared with the microsurgery group;(2) in the aspect of safety,patients from the neuroendoscope group had fewer postoperative complications (RR=0.650,95％CI:0.530-0.800,P=0.000) and lower postoperative paralysis incidence rate (RR=0.580,95％CI:0.360-0.930,P=0.020) as compared with the microscope group.There were no significant differences in the operation time,incidence of cerebrospinal fluid leakage,hearing loss or intracranial infections between the 2 groups (P＞0.05).Conclusion As compared with those in patients accepted microscopic microvascular decompression,the prognosis of patients accepted endoscopy-assisted microvascular decompression is better,the relapse rate is lower,and safety is higher.
