显微血管减压术治疗中间神经痛18例报告并文献复习  

Microvascular decompression for treatment of nervus intermedius neuralgia： report of 18 cases and literatures review

作　　者：杨冬[1] 于炎冰[1] 张黎[1] 任鸿翔[1] 张思迅[1] 李放[1] 张哲[1] 赵奎明[1] 袁越[1] 

机构地区：[1]卫计委中日友好医院神经外科,北京100029

出　　处：《中华神经外科杂志》2014年第10期1043-1045,共3页Chinese Journal of Neurosurgery

摘　　要：目的 分析中间神经痛的临床特点、手术方法和疗效。方法 回顾性分析1999年9月至2009年8月中日友好医院神经外科应用显微血管减压术治疗的18例中间神经痛,总结其临床表现、早期诊断、手术方法及疗效,并结合文献进行分析.结果 18例患者均行中间神经显微血管减压术,术后疼痛完全消失16例,偶有发作2例,总有效率为100％.随访23～ 60个月,平均35个月,随访期间总有效率100％,未见复发患者.并发症包括一过性轻度面瘫3例、轻度听力下降2例,均在3个月内完全缓解。结论 中间神经痛罕见,诊断时需与三叉神经痛、舌咽神经痛等其他头面部疼痛相鉴别.对于保守治疗效果差的中间神经痛患者,显微血管减压术是安全、有效的手术方法。Objective To analyze the clinical characteristics,surgical strategies and effectiveness of nervus intermedius neuralgia.Methods Eighteen patients of nervus intermedius neuralgia admitted to our hospital from September 1999 to August 2009 were analyzed retrospectively.The clinical symptoms,admitting diagnosis,surgical strategies and effectiveness of those patients were compiled and analyzed in combined with literature review.Results All patients of accepted microvascular decompression （MVD）.Among them,16 cases＆#39; pain completely disappeared after MVD.2 cases had occasional seizures.The total efficiency was 100%.The follow-up lasted 23-60 months （35 months in average）.The total efficiency was 100%.The complications,included 3 cases of transient mild facial paralysis and 2 cases of mild hearing dysfunction,were completely relieved within 3 months.Conclusion Nervus intermedius neuralgia was rare.It should be differentiated with other neuralgia diseases,such as trigeminal neuralgia and glossopharyngeal neuralgia.For patients who had poor effect with conservative treatment,MVD was a safe and effective surgical method.

关 键 词：显微血管减压术 中间神经痛 疗效 

分 类 号：R651.3[医药卫生—外科学]