摘要
目的 探讨显微血管减压术治疗老年人神经性高血压的疗效。 方法 回顾性分析手术治疗的老年脑神经疾病 692例 ,其中 2 36例术前有神经性高血压 ,包括三叉神经痛 179例 ,面肌痉挛 48例 ,舌咽神经痛 9例 ,均行脑神经显微血管减压术治疗。 结果 2 36例中治愈 14 5例 ( 61 4% ) ,显效 36例 ( 15 3% ) ,有效 2 3例 ( 9 7% ) ,无效 32例 ( 13 6% ) ;2 0 8例得到平均 74个月随访 ,有 133例治愈 ,30例显效 ,18例有效 ,2 7例无效。 结论 异常血管袢压迫脑神经根及延髓 ,长期疼痛刺激和情绪紧张是神经性高血压的病因 。
Objective To observe effects of senior neurogenic hypertension treated with microvascular decompression(MVD) Methods All 692 cases of senior cranial nerve disease with MVD were retrospectively analyze, 236 cases of preoperative neurogenic hypertension(prosopalgia 179 cases,facial spasm 48 cases, glossopharyngeal neuralgia 9cases)were treated with MVD Results In 236 cases,145 Patients had cure results(61 4%),36cases obvious effectiveness(15 3%),18 cases effectiveness(9 7%),32 cases ineffectiveness (13 6%) Two hundred and eight cases have been flowed up for 74 months average,133 cases had cure prognosis,30 cases obvious effectiveness,18 cases effectiveness,27 cases ineffectiveness Conclusion It is pathogenesis of neurogenic hypertension that oppressing cranial nerve roots and bulb by abnormal vascular tab leads to long term aching stimulation and emotional stress MVD is an effective treatment of neurogenic hypertension
出处
《中华显微外科杂志》
CSCD
北大核心
2002年第1期20-22,共3页
Chinese Journal of Microsurgery
