显微血管减压术对三叉神经痛的疗效分析.pdfVIP

现代医药卫生2008年24卷第6期 显微血管减压术对三叉神经痛的疗效分析 梅佩冬 ，李林繁 ，叶 枪 (1．电白县人民医院神经外科，广东 电白525400；2．高州市人民医院神经外科，广东 高州525200) 【摘要】目的：评价显微血管减压术治疗三叉神经痛的疗效。方法：回顾性分析本院18例原发性三叉神经痛患者的临床资料，均 行乙状窦后人路显微血管减压术治疗。结果：术中可见三叉神经人脑干处有血管压迫者17例(94．4％1，其中动脉压迫14例，静脉压迫 aN，另有蛛网膜粘连索带状压迫1例。术后早期疼痛完全缓解16例(88．9％1，部分缓解2例，总有效率达100％，无手术死亡。随访2—5 年，维持完全缓解15例(83．3％)，部分缓解2例，复发1例(5．6％)，持久并发症1例(5．6％)。结论：显微血管减压术直接针对原发性三叉神 经痛的病因，临床疗效理想，术中创伤和神经功能影响较小，并发症和术后复发率均较低。 【关键词】三又神经痛；显微血管减压术；神经外科手术；疗效 文章编号：1009—5519(2008)06-0800-03 中图分类号：R5 文献标识码：A Analysis of clinical curative effe~on tdgeminal neuralgia by microvascular decompression MEIPei-donf，LILin-fan ，YE Qiand (1．Department of Neurosurgery，Dianbai People Hospital，Guangdong 00，China；2．Department of Neur~urgery，Gaozhou People Hospital，C~ ong 5252oo，China 【Abstract]Objective：To assess the short and long term curative effect of microvascular decompression for trigeminal neuralgia． Methods：The medical records of 1 8 patients undergoing microvascular decompression of the trigeminal nerve via retrosigmoid approach were analyzed retrospectively．Results：There were 17 cases(94．4％)of vascular compression in the trigeminal root entry zone，including 14 cases of arterial compression and 3 cases of venous compression，and 1 case of arachnoid adhesion compression．In the short term post- operation，1 6 cases(88．9％)accomplished complete remission，2 cases partial remission，and no death occurred．During the foHow-up of 2- 5 years，15 cases(83．3％)maintained CR，2 cases received PR，and 1 case(5．6％)recurred，1 case(5．6％)had irreversible complication． Conclusion：Microvascular decompression aims directly at the origin of trigeminal neuralgia and has ideal cfinical curative effect．Further- more，it causes fewer lesions with lower rate of compli