经乙状窦后路入血管减压术治疗原发性三叉神经痛的临床研究  

Clinical study on the treatment of primary trigeminal neuralgia by retrosigmoid approach

作　　者：骆飞[1] 杨瑞金[1] 

机构地区：[1]江西省赣州市人民医院神经外科,江西赣州341000

出　　处：《中国当代医药》2017年第19期47-49,77,共4页China Modern Medicine

摘　　要：目的探讨经乙状窦后路入血管减压术治疗原发性三叉神经痛的临床效果。方法将2014年12月~2016年12月在我院接受治疗的84例原发性三叉神经痛患者随机分为观察组(n=42)和对照组(n=42),观察组采用经乙状窦后路入血管减压术治疗,对照组采用经皮半月神经节射频热凝术治疗,比较两组治疗效果、术后并发症发生和复发情况。结果观察组总有效率为88.09%,高于对照组的66.67%,患者术后并发症总发生率(23.80%)小于对照组(47.61%),患者术后一次性治愈率及复发情况均明显优于对照组,差异有统计学意义(P<0.05)。结论经乙状窦后路入血管减压术治疗原发性三叉神经痛效果显著,治愈率高,复发少,术后并发症少,值得临床上推广和应用。Objective To investigate the clinical effect of retrosigmoid approach for the treatment of primary trigeminal neuralgia.Methods 84 patients with primary trigeminal neuralgia in our hospital from December 2014 to December 2016 were randomly divided into the observation group （n=42） and the control group （n=42）,the observation group was treated with posterior decompression via retrosigmoid approach,the control group was treated with percutaneous semilu- nar ganglion radiofrequency thermocoagulation,the therapeutic effect,postoperative complications and recurrence were compared between the two groups.Results The total effective rate of the observation group was 88.09%,which was higher than that of the control group（66.67%）,the incidence of postoperative complications（23.80%） was less than that of the con- trol group （47.61%）,the cure rate and recurrence after operation were significantly better than those of the control group,and the differences were statistically significant （P〈0.05）.Conclusion The treatment of primary trigeminal neu-ralgia by retrosigmoid approach has significant curative effect.h has high cure rate,less recurrence and less postoperative complications.h is worthy of clinical promotion and application.

关 键 词：经乙状窦后路入 血管减压术 原发性三叉神经痛 

分 类 号：R651.1[医药卫生—外科学]