摘要
目地探讨显微血管减压术治疗同一病人并存多根颅神经疾患病例的疗效。方法采用显微血管减压术治疗同一病人并存多根颅神经疾患病例。包括同侧三叉神经痛合并舌咽神经痛12例,同侧三叉神经痛合并面肌痉挛3例,同侧舌咽神经痛合并面肌痉挛2例,双侧三叉神经痛3例,双侧面肌痉挛2例,双侧舌咽神经痛1例。结果术后总有效率100%,治愈率97.83%(45/46),平均随访30.57个月,治愈率97.83%(45/46),仅1例次三叉神经痛复发,再次手术后治愈。结论显微血管减压术是治疗同一病人并存多根颅神经疾患病例安全有效的显微外科手术方法。
Objectives To study the effectiveness of microvascular decompression for the treatment of multiple cranial neuropathy. Methods Microvascular decompression was used to treat multiple cranial neuropathy cases, including trigeminal neuralgia with glossopharyngeal neuralgia (12 cases), trigeminal neuralgia with hemifacial spasm (3 cases), glossopharyngeal neuralgia with hemifacial spasm (2 cases), bilateral trigeminal neuralgia (3 cases), bilateral hemifacial spasm (2 cases) and bilateral glossopharyngeal neuralgia (1 case). Results The postoperative total effective rate was 100%, the postoperative curative rate was 97.83%(45/46). After the follow-up period (mean duration: 30.57 months), the curative rate was 97.83%(45/46). There was only 1 case of recurrent trigeminal neuralgia which was cured by second microvascular decompression. Conclusion Microvascular decompression is an effective and safe microsurgical method to treat multiple cranial neuropathy cases.
出处
《中华神经外科杂志》
CSCD
北大核心
2004年第4期299-302,共4页
Chinese Journal of Neurosurgery
