摘要
目的 探讨三叉神经痛病因诊断和显微血管减压术治疗的疗效.方法 对3588例保守治疗无效的原发性三叉神经痛患者行头颅CT或MRI检查,排除继发性三叉神经痛后行显微血管减压术治疗.结果 3588例中均见到有走行异常的血管压迫三叉神经进入脑干段,术后治愈3378例,显效103例,有效67例,无效37例,死亡3例.3013例得到0.6～24年随访,有2735例治愈,111例显效,50例有效,38例无效,79例疼痛复发（其中有49例行第2次或第3次手术后治愈）.结论 异常血管压迫三叉神经进入脑干段,神经根周围蛛网膜增厚粘连是原发性三叉神经痛的病因,显微血管减压术是治疗三叉神经痛的有效方法,手术的安全性和有效性与术者的经验和熟练操作程度密切相关.
Objective To explore etiological diagnosis of trigeminal neuralgia and effectiveness of microvascular decompression. Methods 3588 primary trigeminal neuralgia patients who failed in conservertive treatment were given skuu CT of MRI scan and excluded secondary underwent for microvascular decompression surgery. Results Abnormal vasculars that oppress trigeminal nerve into the brain stem section. Then we gave them microsurgicai neurovascular decompression treatnent. After the operation,3378 cases were cured, 103 cases were ineffectiveness,67 cases were effectivenss and 37 were ineffective. 3 cases died. 3013 cases were foUwed up in 0.6 -24 years,2735 cases were cured, 111 cases were obviously effective,50 cases were effective and 38 cases were ineffective. 79 cases were pain relapsed and 49 cases were cured by second or third operation among them. Conclusion The cause of trigeminal neuralgia is that the unusual vascular oppress trigeminal nerve into the brain stem section and arachnoid membrane circling the nerve is thickened and sticked. Microsurgical neurovascular decompression is an effective method for the treatment of trigeminal neuralgia , and this operation has a close correlation with the experience and proficiency level of surgeon.
出处
《中国医学创新》
CAS
2010年第23期12-14,共3页
Medical Innovation of China
关键词
三叉神经痛
预后
显微血管减压术
病因学
Trigeminal neuralgia
Prognosis
Microvascular decompression
Etiology
