原发性三叉神经痛微血管减压术的疗效分析  

Long-term efficacy analysis of microvascular decompression in primary trigeminal neuralgia

作　　者：端木建华[1] 段德义[1] 种衍军[1] 刘晓震[1] 

机构地区：[1]山东省济宁市第一人民医院神经外科,济宁272111

出　　处：《中国神经精神疾病杂志》2005年第3期196-197,共2页Chinese Journal of Nervous and Mental Diseases

摘　　要：目的探讨影响原发性三叉神经痛微血管减压术远期疗效的因素及提高疗效的方法。方法分析1412例随访12～144个月(平均74个月)的资料。结果疼痛消失1228例(87%),疼痛减轻140例(9.9%),术后复发44例(3.1%)。疼痛减轻和术后复发者再手术时发现遗漏压迫血管、减压材料移动是造成手术失败及复发的原因。结论采用微血管减压术治疗原发性三叉神经痛,不遗漏三叉神经感觉根附近的责任血管,是提高疗效的重要环节。Objective To investigate the factors associated with longterm efficacy of microvascular decompression in primary trigeminal neuralgia. Methods 1412 cases of primary trigeminal neuralgia treated with microvascular decompression were followed 12 to 144 months(mean 74 months). Results Trigeminal neuralgia were obliterated in 1、228cases(87%) and partially relieved in 140 cases(9.9%). However, trigeminal neuralgia recurred in 44 cases (3.1%). We reoperated on those who had recurrent trigeminal neuralgia and found that the material used for previous decompression had moved. The movement of decompression material could be the cause of trigeminal neuralgia recurrence. Conclusions Upholding of depression material around the blood vessels against movement near the trigeminal nerve plays an important role for improving the long-term efficacy of MVD in trigeminal neuralgia.

关 键 词：三叉神经痛 微血管减压 

分 类 号：R651.3[医药卫生—外科学]