原发性三叉神经痛的微血管减压术与伽玛刀治疗的对比研究与预后分析.docVIP

精品论文 参考文献 原发性三叉神经痛的微血管减压术与伽玛刀治疗的对比研究与预后分析 刘毅1 陈灵2(通讯作者) 张逵1 唐辉1 　　(1四川省南充市中心医院神经外科 四川南充 637000) 　　(2川北医学院附属医院高压氧室 四川南充 637000) 　　【摘要】目的 对比微血管减压术（MVD）和伽马刀(GKS)治疗原发性三叉神经痛（PTN）的临床效果以及其预后分析。方法 以本院150例被确诊为原发性三叉神经痛的患者为观察对象。按照不同的治疗方法分为两组，治疗组69例采用MVD方法进行治疗，对照组81例采用GKS进行治疗。对两组患者的治疗效果以及疼痛缓解率进行统计并分析。结果 使用MVD治疗患者，痊愈率高于GKS组。两组的差异有统计学意义（plt;0.05）。患者的疼痛缓解率，MVD组也高于GKS组，但两组的差异无统计学意义（pgt;0.05）。结论 使用MVD和GKS治疗原发性三叉神经痛都可以对疼痛有所缓解，但是总体上MVD的疗效好于GKS，可以成为治疗该病的首选治疗方式。GKS也可治疗身体状况稍差不能承受手术或者年龄较大的患者。 　　【关键词】原发性三叉神经痛 微血管减压术 伽玛刀 　　【中图分类号】R651 【文献标识码】A 【文章编号】2095-1752（2014）03-0077-02 　　The research on treatment and Prognosis of trigeminal neuralgia after surgical excision or gamma knife 　　【Abstract】Objective: Comparison of micro vascular decompression (MVD) and gamma (GKS) for treatment of primary trigeminal neuralgia (PTN) analysis of the clinical effect and its prognosis. Methods: In 150 cases in our hospital was diagnosed with primary trigeminal neuralgia patients. According to the different treatment methods are divided into two groups, 69 cases in the treatment group were treated by MVD method, 81 patients in control group were treated with GKS. Statistics and analysis of two groups of patients the treatment effect and the pain relief rate. Results: The use of MVD treated patients, the cure rate is higher than that of GKS group. There was statistically significant difference between the two groups (plt;0.05). The patients pain remission rate, MVD group is higher than that of GKS group, but no significant difference between the two groups (pgt;0.05) Conclusion: MVD and GKS can effectively alleviate the pain, but the overall effect of MVD is better than GKS, can be the first choice for treatment of the disease. GKS also can cure body slightly worse cannot withstand the operation or older patients. 　　【Key words】primary trigeminal neuralgia micro vascular decompression gamma knife 　　原发性三叉神经痛（PTN）是临床上的常见多发病。它是指身体内三叉神经分布区的一支或者多支出现