微血管减压术治疗原发性三叉神经痛疗效分析.docVIP

微血管减压术治疗原发性三叉神经痛疗效分析 　　【摘要】 目的：探讨微血管减压术治疗原发性三叉神经痛的临床疗效。方法：选取2010年1月-2013年1月本院诊治的原发性三叉神经痛患者48例，按随机数字表法分为两组，其中通过微血管加压术治疗的23例患者为试验组，通过射频热凝术治疗的25例为对照组。观察比较两组患者的治疗效果、并发症发生情况、疼痛缓解情况、复发率及死亡率。结果：试验组的总显效率高于对照组，差异有统计学意义（P0.05）。结论：针对原发性三叉神经痛患者采用微血管减压术可以明显提高治疗效果，减轻患者痛苦，改善患者生活质量。微血管减压术对治疗原发性三叉神经痛具有十分重要的临床意义，值得推广应用。 　　【关键词】 微血管减压术； 原发性三叉神经痛； 临床疗效 　　Efficacy Analysis of Micro Vascular Decompression in the Treatment of Trigeminal Neuralgia/WANG Xiong，ZHANG Yu-ding.//Medical Innovation of China，2014，11（28）：010-012 　　【Abstract】 Objective：To evaluate the clinical efficacy of micro vascular decompression treatment of primary trigeminal neuralgia.Method：48 patients with trigeminal neuralgia in our hospital from January 2010 to January 2013 were selected， and they were randomly divided into two groups， 23 patients were treated with micro vascular compression treatment as the experimental group， and 25 patients used radiofrequency treatment as the control group. The therapeutic effects， the occurrence of complications， pain relief， recurrence rate， mortality of the two groups were observed and compared.Result：The patients in the total efficiency of the experimental group was higher than the control group， there was significant difference （P0.05）.Conclusion：For patients with trigeminal neuralgia micro vascular decompression surgery can significantly improve the therapeutic effect， reduce patient suffering， and improve the quality of life of patients. Micro vascular decompression surgery for the treatment of Trigeminal neuralgia has very important clinical significance， should be widely applied. 　　【Key words】 Micro vascular decompression； Trigeminal neuralgia； Clinical efficacy 　　First-author’s address：Gucheng Peoples Hospital，Gucheng 441700，China 　　doi：10.3969/j.issn.1674-4985.2014.28.004 　　三叉神经痛是临床常见的面部疼痛性疾病，临床表现为三叉神经分布区域内阵发性，电击样剧烈疼痛[1]。三叉神经痛的致病原因包括原发性、继发性，临床原发性三叉神经痛较为常见。研究表明原发性三叉神经痛的发病同三叉神经的脑干区域内血管压迫密切相关，通过解除血管压迫，可以明显缓解疼痛，达到治疗的效果[2]。治疗方案主要包括药物治疗、外科甘油注射术、射频热凝术、球囊压迫术及微血管减压术等，其中