[1]荣道建,杨晓健,赵俊伟.神经内镜辅助原发性三叉神经显微血管减压术[J].临床神经外科杂志,2015,(02):89-91.
点击复制

神经内镜辅助原发性三叉神经显微血管减压术()
分享到:

《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2015年02期
页码:
89-91
栏目:
显微血管减压术专题
出版日期:
2015-04-15

文章信息/Info

Title:
Endoscopic microvascular decompression for trigeminal neuralgia
作者:
荣道建杨晓健赵俊伟
沈阳医学院附属中心医院
关键词:
三叉神经痛微血管减压术神经内镜
Keywords:
Trigeminal neuralgia Microvascular decompression Endoscopy
分类号:
R745.1
文献标志码:
A
摘要:
目的 探讨神经内镜在三叉神经痛微血管减压术中的应用价值。方法 回顾性分析58例神经内镜辅助三叉神经微血管减压术患者的临床资料、手术资料及随访结果。采用神经内镜主要是术中观察并判定责任血管及置入垫棉的位置。结果 58例术中证实存在责任血管压迫者54例(93.1%),其中5例(8.6%)显微镜下被遗漏的责任血管则通过神经内镜发现。本组术后未见颅内出血、脑脊液漏及面瘫等严重术后并发症,55例(94.8%)疼痛消失,2例(3.4%)疼痛减轻,总有效率为98.3%,2年术后复发率为5.3%。结论 神经内镜辅助三叉神经微血管减压术有助于明确评判责任血管后做到彻底减压,能够提高手术疗效及减少术后并发症。
Abstract:
Objective To study the value of endoscope in microvascular decompression(MVD) for idiopathic trigeminal neuralgia(ITN). Methods 58 ITN patients,undergoing endoscope-assisted MVD wag analyzed retrospectively,included their clinical data,operative data and follow-up results.The endoscope was used to distinguish the responsible vessels and confirm the localion of Teflon in MVD. Results No severe complications including intracranial hemorrhage,cerebrospinal fluid leakage and facial paralysis occurred and the responsible vessels of 54 cases(93.1%) were found in 58 ITN patients. The responsible vessels of 5 cases(8.6%) were missed under the microscope, but they were found by endoscope. The effective rate was 98.3% in 58 ITN cases, with 55 cases(94.8%) complete cure and 2 cases(3.4%)little residual pain.3 cases(5.3%) recurred in 2 years after operation.Conclusions Endoscope-assisted MVD for ITN has contributed to judge responsible vessels and place telflon correctly. It can improve the surgical curative effect and reduce postoperative complications.

相似文献/References:

[1]周勇智,邹元杰,刘永,等.三叉神经根入脑干区MRI形态学研究[J].临床神经外科杂志,2014,(01):29.
[2]胡文瀚,王新生.内镜在显微血管减压术中安全性和有效性的系统回顾[J].临床神经外科杂志,2015,(02):81.
[3]张熙,赵启梅,周乐,等.侧方扩散和面神经运动诱发电位监测在面神经微血管减压术中的意义[J].临床神经外科杂志,2015,(02):92.
[4]权俊杰,屈建强,周乐,等.显微血管减压术治疗舌咽神经痛23例分析[J].临床神经外科杂志,2015,(02):96.
[5]乔梁,朱宏伟,陶蔚,等.神经导航下三叉神经半月节射频热凝术中的电生理研究[J].临床神经外科杂志,2014,(02):107.
[6]李强,李玉,邓兴力.原发性三叉神经痛临床应用治疗进展[J].临床神经外科杂志,2014,(05):393.
[7]金伟,王晶,戴宇翔,等.术前腰大池引流在面肌痉挛微血管减压手术中的应用[J].临床神经外科杂志,2014,(06):440.
[8]宋昭,刘如恩,夏小雨,等.枕下乙状窦后入路手术治疗三叉神经痛的术式选择[J].临床神经外科杂志,2016,(06):459.
 SONG Zhao,LIU Ru-en,XIA Xiao-yu,et al.Option of surgical treatment of trigeminal neuralgia with suboccipital retrosigmoid approach[J].Journal of Clinical Neurosurgery,2016,(02):459.
[9]项崇,邹元杰,肖勇,等.《3.0 T磁共振联合伪彩色技术在面肌痉挛微血管减压术前评估中的应用》[J].临床神经外科杂志,2017,14(02):112.
 XIANG Chong,ZOU Yuan-jie,XIAO Yong,et al.Application of 3.0 T MR and pseudo-color technology in the preoperative evaluation of microvascular decompression for hemifacial spasm[J].Journal of Clinical Neurosurgery,2017,14(02):112.
[10]刘厚强,于如同,丁允波,等.3D-FIESTA联合3D-TOF MRA对三叉神经微血管减压术的指导价值[J].临床神经外科杂志,2017,14(03):212.
 LIU Hou-qiang,YU Ru-tong,DING Yun-bo,et al.The value of 3D-FIESTA combined with 3D-TOF MRA sequence to the operation of microvascular decompression[J].Journal of Clinical Neurosurgery,2017,14(02):212.
[11]叶远良,王伟君,罗毅.影响微血管减压术治疗原发性三叉神经痛疗效相关因素分析[J].临床神经外科杂志,2015,(02):85.
[12]张施远,曾春,石海平,等.三叉神经痛微血管减压术后疗效及[J].临床神经外科杂志,2016,(02):106.
 ZHANG Shi-yuan,ZENG Chun,SHI Hai-ping,et al.Efficacy of MVD for trigeminal neuralgia and related complications[J].Journal of Clinical Neurosurgery,2016,(02):106.
[13]秦磊,邹元杰,徐晨光,等.三叉神经痛微血管减压术远期疗效的影响因素研究[J].临床神经外科杂志,2020,17(03):317.[doi:DOI:10.3969/j.issn.1672-7770.2020.03.016]
 QIN Lei,ZOU Yuan-jie,XU Chen-guang,et al.Analysis on contributing factors affecting long-term effectiveness of microvascular decompression for trigeminal neuralgia[J].Journal of Clinical Neurosurgery,2020,17(02):317.[doi:DOI:10.3969/j.issn.1672-7770.2020.03.016]

备注/Memo

备注/Memo:
[收稿日期] 2014-03-23 [基金项目]沈阳市卫生局资助项目
更新日期/Last Update: 2015-04-15