摘要
目的探讨原发性三叉神经痛的病因,对微血管减压术(MVD)治疗原发性三叉神经痛的方法、技术难点、手术效果等进行系统研究分析总结。方法采用微血管减压术治疗52例原发性三叉神经痛患者,回顾性分析患者的病例资料。结果术中发现有明确责任血管者50例。术后治愈46例(88.46%),缓解5例(9.62%),无效1例(1.92%)。随访3-37个月,随访期间无病例复发。结论微血管压迫三叉神经根是原发性三叉神经痛的主要病因。MVD治疗原发性三叉神经痛具有疗效肯定、角膜反射和面部感觉完整保留的优点,是原发性三叉神经痛的理想治疗方法。
Objective To summarize the therapy,difficulty and efficacy of microvascular decompression for primary trigeminal neuralgia, and to explore its etiological factors. Methods The clinical data of 52 patients with primary trigeminal neuralgia treated by mi- crovascular decompression were analyzed retrospectively. Results The responsible vessels were found in 50 cases during operation. Of 50 cases,46 cases were cured,5 cases were relieved, and 1 was ineffective. No patient recurred after followed up for 3 - 37 months. Conclusion The microvascular compression of root of trigeminal nerve is the main etiological factor of primary trigeminal neuralgia. Microvascular decompression is an ideal method for treating primary trigeminal neuralgia with positive effect and complete conservation of corneal reflex and facial perception.
出处
《山西医科大学学报》
CAS
2009年第7期664-667,共4页
Journal of Shanxi Medical University
关键词
原发性三叉神经痛
治疗
微血管减压术
primary trigeminal neuralgia
treatment
microvascular decompression
