改良微骨孔完全显微血管减压术治疗原发性三叉神经痛的临床效果  

Clinical effect of modified micro bone hole completely microvascular decompression in the treatment of primary trigeminal neuralgia

作　　者：连泽豪 付卯宏[1] 马晓艳[2] 曹新生[1] 

机构地区：[1]平顶山市第一人民医院神经外科,467099 [2]平顶山市第一人民医院病理科,467099

出　　处：《国际医药卫生导报》2016年第7期904-906,共3页International Medicine and Health Guidance News

摘　　要：目的研究改良微骨孔完全显微血管减压术治疗原发性三叉神经痛的临床效果。方法选取本院2012年7月至2014年2月104例原发性三叉神经痛患者，按随机数表分为两组，其中50例采用传统湿微血管减压术治疗记为对照组，54例采用改良微骨孔完全显微血管减压治疗记为观察组，观察两组手术情况。结果观察组手术时间（2．71±0．50）h、住院天数（7．1±2．1）d，对照组（3．68±0．42）h、（10．2±2．4）d，两组比较差异具有统计学意义（P〈0．05）；观察组手术有效率（94．4％）与对照组（88．0％）比较差异无统计学意义（P〉0．05）；手术并发症率观察组（9．3％）与对照组（24．0％）比较显著降低，差异具有统计学意义（P〈0．05）。结论改良微骨孔完全显微血管减压术和传统显微血管减压术均能有效治疗原发性三叉神经痛，但改良术能有效缩短手术时间和住院天数，减少并发症风险，综合治疗效果更为显著。Objective To study the clinical effect of modified micro bone hole completely microvascular decompression in the treatment of primary trigeminal neuralgia. Methods 104 cases of primary trigeminal neuralgia in our hospital from July 2012 to February 2014 were selected and divided into two groups according to the random number table. 50 cases in control group received traditional microvascular decompression therapy, while 54 cases in observation group received modified micro bone hole completely microvascular decompression. Compared operation time, hospitalization time, operation efficiency, and the incidence of surgical complications of two groups. Results Operation time and hospitalization time of observation group were （2.71±0.50）h, （7.1±2.1）d, those of control group were （3.68±0.42）h, （10.2±2.4）d, with statistically significant differences between two groups （P〈0.05）. There was no statistically significant difference in operation efficiency between two groups （94.4% vs.88.0%, P〉0.05）. The incidence of surgical complications of observation group was significantly lower than that of control group （9.3% vs.24.0%, P〈0.05）. Conclusion Modified micro bone hole completely microvascular decompression and traditional microvascular decompression can effectively treat primary trigeminal neuralgia, but modified surgery can effectively shorten operation time and hospitalization time, reduce the risk of complications, with more significant comprehensive treatment effect.

关 键 词：原发性三叉神经痛 改良微骨孔完全显微血管减压术 疗效 

分 类 号：R745.11[医药卫生—神经病学与精神病学]