微血管减压治疗原发性三叉神经痛的手术技术探讨(附110例分析)  

Microvascular decompression for idiopathic trigeminal neuralgia:technique approach of 110 cases

作　　者：万亮[1] 李世亭[1] 仲骏[1] 华续明[1] 张文川[1] 王旭辉[1] 

机构地区：[1]上海交通大学医学院附属新华医院神经外科,上海200092

出　　处：《中国微侵袭神经外科杂志》2008年第11期503-505,共3页Chinese Journal of Minimally Invasive Neurosurgery

基　　金：上海市科委重点项目(编号:074119630);上海市教委曙光计划项目(编号:07SG21)

摘　　要：目的探讨原发性三叉神经痛微血管减压治疗的手术技巧。方法回顾性分析行微血管减压手术治疗的110例三叉神经痛病人的临床资料。术中运用无牵拉显露技术、电生理定位技术、责任血管减压技术及静脉保护技术。术中发现血管压迫107例,行血管减压;对3例未发现血管压迫者行神经梳理。结果术后疼痛完全消失105例(95.5%),明显减轻4例(3.6%),部分缓解1例(0.9%)。平均随访35个月,复发1例,经再次手术后治愈。结论应用解剖学与电生理学相结合,确定责任血管并予以妥善处理,是三叉神经微血管减压手术获得成功的关键;静脉保护不容忽视。Objective To explore the surgical technique for microvascular decompression(MVD) for idiopathic trigeminal neuralgia(TN).Methods One hundred and ten cases of MVD were analyzed retrospectively.Several novel techniques were adopted during the operation,such as traction-free exposure,electrophysiological localization,offending vessel decompression and vein protection.Vascular compression was observed and decompression performed in 107 cases during the operation,and no compression was found and nerve combing wa...

关 键 词：三叉神经痛 微血管减压手术 诱发电位 

分 类 号：R651.1[医药卫生—外科学]