全下颌管内外神经撕脱术治疗三叉神经(第Ⅲ支)痛  

Surgical treatment of trigeminal neuralgia of the third division by nerve avulsion inside and outside the mandibular cannel

作　　者：白振西[1] 高志彪[1] 肖霞[1] 樊星[1] 张文娟[1] 

机构地区：[1]延安大学附属医院口腔科,716000

出　　处：《实用口腔医学杂志》2016年第5期667-669,共3页Journal of Practical Stomatology

摘　　要：目的：介绍全下颌管内外神经撕脱术手术方法,评价治疗效果。方法：对34例原发性三叉神经第Ⅲ支痛患者,采用自下颌孔上方高位切断后,撕脱全部下颌管内段神经和颏孔末梢神经,同时撕脱颊神经,随访观察手术治疗效果。结果：34例手术均顺利完成,术后伤口愈合正常,无严重并发症,随访2~4年无复发。结论：全下颌管内外神经撕脱术是治疗三叉神经第Ⅲ支痛的有效方法。Objective： To study the effects of the surgical treatment of nerve avulsion inside and outside the mandibular cannel. Methods： 34 patients with trigeminal neuralgia of the third division, received neurotomy and avulsion of inferior alveolar nerve in the mandibular cannel above the lingual or through the mental foramen, concurrently with the avulsion of buccal nerve. Patients were fol- lowed up for 2 -4 years. Results： All the operations were successfully completed, The wounds were well-healed. All patients felt that pain disappeared in the area innervated by inferior alveolar nerve. During the 2 - 4 years of follow- up, no recurrence was found. Conclusion： Inferior alveolar nerve neurotomy and avulsion in the mandibular cannel is simple, safe and effective in the treatment of trigeminal neuralgia of the third division.

关 键 词：三叉神经痛 下颌管 神经撕脱术 手术治疗 

分 类 号：R782.2[医药卫生—口腔医学]