桥小脑角区小型占位致继发性三叉神经痛患者术后并发症的护理  

Perioperative Nursing for Complications in Patients with Secondary Trigeminal Neuralgia Caused by Small Lesions in Cerebellopontine Angle Area

作　　者：冷晓丽[1] 王珈菁[2] 陶传元[1] 陈有玲[1] 石陈燕[1] 

机构地区：[1]解放军第452医院神经外科,四川成都610021 [2]四川大学华西医院神经外科重症监护室,四川成都610021

出　　处：《解放军护理杂志》2012年第6期34-36,50,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨桥小脑角区(cerebellopontine angle,CPA)小型占位致继发性三叉神经痛患者术后并发症的护理措施。方法回顾性分析2005年1月至2010年12月在解放军第452医院治疗的CPA小型占位致继发性三叉神经痛23例患者的治疗过程,总结此类患者的手术方式、疗效及并发症的护理措施。结果 23例患者均行乙状窦后入路显微镜下切除病变,3例另行三叉神经感觉根部分切断术。患者中,术后疼痛消失20例、面部麻木3例。经过精心的术前心理护理及针对性术后并发症护理,所有患者均恢复良好。结论重视术前的心理护理,及早发现术后各种并发症,并进行有效的针对性护理是手术成功的关键。Objective To explore the key points of perioperative nursing for the complications in patients with secondary trigeminal neuralgia caused by small lesions in cerebellopontine angle area.Methods The operative modalities and surgical outcome were retrospectively analyzed in 23 cases of patients with secondary trigeminal neuralgia caused by small lesions in cerebellopontine angle area from January 2005 to December 2010 in the hospital,so as to summarize the perioperative nursing measures for surgical methods,efficacy and complications.Results Twenty-three patients underwent lesions resection under microscope through retrosigmoid approach and additional partial rhizotomy was performed in 3 patients.Postoperatively,facial pain disappeared in all cases,but facial numb occurred in 3 cases.All patients gained good recovery because of enough preoperative psychological nursing care and specific postoperative nursing care oriental to complications.Conclusion The key to a successful surgery lies in enhanced preoperative psychological nursing,early detection of complications and effective targeted nursing.

关 键 词：继发性三叉神经痛 小型占位 桥小脑角区 并发症护理 

分 类 号：R745.11[医药卫生—神经病学与精神病学]