乙状窦后径路三叉神经痛手术治疗31例体会  

31 Cases of Trigeminal Neuralgia Treatment with the Approach of the Second Sinus Route

作　　者：孙志强[1] 姚文峰[1] 

机构地区：[1]河南省新乡市第一人民医院耳鼻喉科,新乡453000

出　　处：《中国医药导刊》2015年第9期891-892,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨内窥镜下行乙状窦后径路手术治疗三叉神经痛(TN)的临床疗效。方法:选取31例原发性TN患者作为研究对象,均在内窥镜下行乙状窦后径路三叉神经部分切断术,观察手术疗效。结果:术后有20例(64.52%)面部感觉功能减退。术后1周的三叉神经各支支配区域的面部感觉功能评分均较术前明显降低,P<0.05。手术治愈29例、好转1例、无效1例,总有效率为96.77%。结论:在内窥镜下行乙状窦后径路手术治疗TN能有效改善临床症状,且神经损伤小,术后并发症发生率低。Objective： To evaluate the clinical efficacy of surgical treatment of trigeminal pathway downstream after endoscopic sigmoid sinus.Methods：31 cases of primary trigeminal neuralgia patients as research subjects, both in the endoscopic sigmoid sinus pathways downstream portion of the trigeminal nerve transection, observe surgery.Results：Postoperative 20 cases （64.52%） facial sensory dysfunction. One week alter the facial trigeminal nerve branch dominated region feeling each function scores compared with before surgery significantly reduced, P〈0.05. Surgery cured 29 cases, improved in 1 case, 1 case; the total effective rate was 96.77%. Conclusion：After endoscopic sinus pathways downstream sigmoid surgical treatment of trigeminal neuralgia can improve clinical symptoms, and small nerve injury, postoperative complication rate.

关 键 词：三叉神经痛 乙状窦后径路 内窥镜 责任血管 

分 类 号：R762[医药卫生—耳鼻咽喉科]