三叉神经周围支改良撕脱术35例初步报告  

A Modified Nerve Avulsion Technique in the Management of Trigeminal Neuralgia

作　　者：华耀社 贾怀斌[1] 赵婧[1] 

机构地区：[1]宝鸡市口腔医院口腔颌面外科,陕西宝鸡721000

出　　处：《口腔颌面外科杂志》2013年第5期384-386,共3页Journal of Oral and Maxillofacial Surgery

摘　　要：目的:探讨三叉神经痛周围神经撕脱术的手术方法。方法 :对35例原发性三叉神经痛周围支病变的患者,采用周围神经撕脱术的改良术式:准确定位、广泛撕脱、大面积分离、返流支损毁、钛钉神经孔封堵及术后镇痛不全的甄别处理。结果:术后观察1～4年,复发3例。结论 :改进术式复发率低,疗效好,值得推广。Objective ：To discuss the effectiveness of a modified peripheral nerve avulsion technique in the management of trigeminal neuralgia. Methods： 35 cases of primary trigeminal neuralgia, using a modified peripheral nerve avulsion technique： accurate positioning, extensive avulsion, a large area of separation, reflux branch break, titanium nail neural hole plugging and postoperative analgesia with incomplete screening processing. Results： In a postoperative observation of 0.5 - 4 years, 3 cases occured recurrence. Conclusion： Modified peripheral nerve avulsion, a improved technique , with low recurrence rate, good curative effect, is worth popularizing.

关 键 词：三叉神经痛 神经撕脱术 治疗 

分 类 号：R745.11[医药卫生—神经病学与精神病学]