摘要
目的研究三叉神经感觉根梳理术治疗三叉神经痛的原理及方法，评价其长期随访结果。方法1994-2000年对50例三叉神经痛患者行乙状窦后进路桥小脑角探查术。其中30例行三叉神经显微血管减压术同时行三叉神经感觉根梳理术，20例单纯行三叉神经感觉根梳理术。结果50例手术中发现28例小脑上动脉压迫三叉神经根，12例小脑下前动脉压迫神经根，10例未发现有血管压迫。50例患者术后疼痛即刻消失。随访4—8年，疼痛复发2例，其他48例疼痛无复发。9例面部轻度麻木，痛、温、触觉大部分存在，另41例面部感觉正常。结论三叉神经感觉根梳理术是安全有效的，尤其适用于没有血管压迫或不能确定责任血管的患者。若手术中确定有责任血管压迫神经，在行减压术的同时对三叉神经根神经进行梳理术，是避免复发并获得长期满意效果的重要因素。
Objective To research and appraise the method and long-terra effects of trigeminal neuralgia by the operation of retrogasserian combing. Methods From 1994 to 2000, fifty cases of trigeminal neuralgia were treated through posterior fossa microsurgery, 30 of which received both microvascular decompression and retrogasserian combing while 20 only by retrogasserian combing. Results Of the 50 cases, forty of trigeminal nerves were found to be compressed by arteries, while 28 of them were the superior cerebellar artery, and 12 the anterior inferior cerebdlar artery. All the cases were cured through the operations. Fifty patients were followed up for 4 to 8 years, and then 2 recurrent patients were found and other 48 patients had no recurrence. Nine out of fifty patients have facial insensitivity, others facial sense perceptions are right. Conclusions The effect of the operation of retrogasserian combing is sure. This operation was applicable to any case of trigeminal neuralgia, especially to the cases that no vascular compression was found in the operations.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2006年第4期266-268,共3页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
关键词
三叉神经痛
耳鼻喉外科手术
随访研究
Trigeminal neuralgia
Otorhinolaryngologic surgical procedure
Follow-up studies
