[1]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):459-462.
 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,(06):459-462.
点击复制

枕下乙状窦后入路手术治疗三叉神经痛的术式选择()
分享到:

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

卷:
期数:
2016年06期
页码:
459-462
栏目:
临床研究
出版日期:
2016-12-25

文章信息/Info

Title:
Option of surgical treatment of trigeminal neuralgia with suboccipital retrosigmoid approach
作者:
宋昭刘如恩 夏小雨 李荣刚
518000 南方医科大学深圳医院(宋昭);北京中日友好医院(刘如恩);北京陆军总医院附属八一脑科医院神经外科(夏小雨);复旦大学附属金山医院(李荣刚)
Author(s):
SONG Zhao LIU Ru-en XIA Xiao-yuet al.
Department of Neurosurgery, Shenzhen Hospital of Southern Medical University,Shenzhen 518000,China
关键词:
三叉神经痛枕下乙状窦后入路外科手术
Keywords:
trigeminal neuralgia suboccipital retrosigmoid approach surgery
分类号:
R745.1
文献标志码:
D
摘要:
目的:探讨枕下乙状窦入路手术治疗三叉神经痛术中手术方式的选择。方法:对39例原发性三叉神经痛患者的临床资料进行回顾性分析。其中31例患者术中有明确的血管压迫,仅行微血管减压术(MVD)手术;6例患者血管压迫不明显,行MVD+三叉神经梳理术(TNC);3例患者行三叉神经感觉根部分离断术(PSR),1例患者行二次手术。对患者术后的疗效及并发症进行分析。结果:31例行MVD手术患者,术后疼痛立即完全缓解26例,延迟缓解2例,无效3例,总有效率90.6%。6例行MVD+TNC的患者和3例行PSR手术的患者术后疼痛均立即缓解。结论:为提高手术治疗三叉神经痛的治愈率,应根据术中不同情况决定不同的手术方式。对于老年人及不能耐受第二次手术的患者,更应积极行PSR手术。
Abstract:
Objective:To explore the choice of operative method in the treatment of trigeminal neuralgia(TN) with suboccipital retrosigmoid approach. Methods:39 cases of primary trigeminal neuralgia were analyzed retrospectively,including 31 cases of intraoperative vascular compression,undewent microvascular decompression(MVD) operation only,the effective rate was 90.6%.6 cases of vascular compression was not obvious and underwent MVD+trigeminal nerve combing(TNC) surgery.3 cases underwent partial sensory rhizotomy(PSR) surgery only,including 1 case of secondary surgery.All patients’ postoperative efficacy and postoperative complications were analyzed.〖WT5"HZ〗Results:Of 31 cases underwent MVD surgery,26 postoperative pain immediately completely remission,2 of delayed relief,3 were ineffective.Of 6 cases underwent MVD+TNC, postoperative pain were complete response immediately.3 underwent PSR routine surgery, postoperative pain were immediate relief.Conclusions:To improve the cure rate of surgical treatment of TN,different ways of operation shall be decided according to different situation. Those elderly patients can’t tolerate a second surgery,PSR surgery should be more active.

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]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.
[4]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.
[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]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,(06):106.
[8]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(06):212.
[9]钱进,施圣晖,许兴,等.显微血管减压治疗三叉神经痛和面肌痉挛的临床分析[J].临床神经外科杂志,2018,15(05):329.[doi:10.3969/j.issn.1672-7770.2018.05.003]
 QIAN Jin,SHI Sheng-hui,XU Xing,et al.Clinical analysis on microvascular decompression in treatment of trigeminal neuralgia and hemifacial spasm[J].Journal of Clinical Neurosurgery,2018,15(06):329.[doi:10.3969/j.issn.1672-7770.2018.05.003]
[10]张伟,周小熳,聂耳,等.三叉神经痛影像学检查结果与微血管减压术疗效分析[J].临床神经外科杂志,2018,15(05):337.[doi:10.3969/j.issn.1672-7770.2018.05.005]
 ZHANG Wei,ZHOU Xiao-man,NIE Er,et al.Preoperative imaging of trigeminal neuralgia and microvascular decompression outcome[J].Journal of Clinical Neurosurgery,2018,15(06):337.[doi:10.3969/j.issn.1672-7770.2018.05.005]

更新日期/Last Update: 2016-12-15