[1]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):106-109.
　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):106-109.
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三叉神经痛微血管减压术后疗效及()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2016年02期
页码:
106-109
栏目:
论著
出版日期:
2016-03-31

文章信息/Info

Title:
Efficacy of MVD for trigeminal neuralgia and related complications
作者:
张施远; 曾春; 石海平; 等
遂宁市中心医院神经外科
Author(s):
ZHANG Shi-yuan; ZENG Chun; SHI Hai-ping; et al.
Department of Neurosurgery，Suining Central Hospital，Suining 629000，China
关键词:
三叉神经痛; 微血管减压术; 责任血管
Keywords:
trigeminal neuralgia; microvascular decompression; responsible vessels
文献标志码:
A
摘要:
目的探讨影响三叉神经痛微血管减压术后疗效以及手术并发症的相关因素。 方法回顾性分析89例经微血管减压术治疗的原发性三叉神经痛患者的临床资料。 结果89例患者中术后疼痛立即消失68例（76.4%），明显缓解7例（7.8%）；术后随访1~4年，治愈77例（86.5%），显效5例（5.6%），有效4例（4.5%），无效3例（3.4%）。手术并发症：术后出现小脑血肿2例，严重脑水肿2例，听力障碍1例，皮下积液3例，头痛头晕4例。 结论良好的手术疗效与典型的临床症状，较短的病程，明确的责任血管，单根动脉的压迫以及较轻的神经受压程度密切相关。术中仔细寻找责任血管，充分松解粘连，实施有效的减压，严格保护面听神经，可以进一步提高手术疗效并减少术后并发症的发生。
Abstract:
Abstract:Objective To research the factors that affect the efficacy of microvascular decompression(MVD) and surgical complications. Methods The clinical data of 89 primary trigeminal ：neuralgia(TN) patients underwent MVD were analyzed retrospectively. Results 68 patients' pain disappeared immediately〖JP〗 after MVD,7 cases were significantly alleviated.The follow up from one to four years showed cured in 77 cases,markedly effective in 5,effective in 4 and ineffective in 3(3.4%).Surgical complications showed cerebellar hematoma in 2 cases,severe cerebral edema in 2, hearing impairment in 1, subcutaneous fluid accumulation in 3, headache and dizziness in 4. Conclusions Typical clinical symptoms,shorter duration,clear responsibility vessels oppressed by single artery and slighter nerve compression are closely related to a good results.The measures of carefully looking for responsible vessels,sufficiently releasing the conglutination, strictly protecting facial nerve and auditory nerve can further improve surgical efficacy and reduce the incidence of complications.

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备注/Memo

备注/Memo:
收稿2015-07-24 修回2015-08-19
更新日期/Last Update: 2016-04-15