微血管减压与感觉根部分切断治疗三叉神经痛的有效性及价值比较分析  

A Comparative Analysis of the Effectiveness and Value of Microvascular Decompression and Partial Sensory Root Transection in the Treatment of Trigeminal Neuralgia

作　　者：于飞 YU Fei(Department of Neurosurgery,Central Hospital of Heilongjiang Nongken Hongxinglong Administration Bureau,Shuangyashan,Heilongjiang Province,155100 China)

机构地区：[1]黑龙江省农垦红兴隆管理局中心医院神经外科,黑龙江双鸭山155100

出　　处：《世界复合医学》2021年第7期23-26,共4页World Journal of Complex Medicine

摘　　要：目的回顾性分析三叉神经微血管减压与三叉神经感觉根部分切断治疗三叉神经痛的效果。方法选择该院2019年10月-2020年12月收治的神经外科54例三叉神经痛患者。按治疗方式的不同分为对照组和研究组,各27例。对照组患者实施微血管减压术(MVD),研究组患者实施微血管减压(MVD)联合感觉根部分切断术(RSR),对比两组患者治疗效果。结果研究组治疗有效率为(96.30%),对照组治疗有效率为(70.37%),差异有统计学意义(χ^(2)=4.800,P<0.05),研究组手术时间为(163.97±8.14)min,住院时间为(14.81±1.55)d,对照组手术时间为(186.74±10.63)min,住院时间为(17.89±1.04)d,差异有统计学意义(t=8.837、8.574,P<0.05);研究组治疗后视觉模拟评分法(VAS)评分为(4.37±1.16)分,对照组治疗后VAS评分为(5.65±1.64)分,差异有统计学意义(t=3.311,P<0.05)。研究组在社会能力、生理功能、健康状况、睡眠质量、精神健康等方面的预后生活质量评分均高于对照组,差异有统计学意义(t=19.171、18.660、17.488、15.186、13.692,P<0.05)。结论三叉神经感觉根部分切断术效果明显优于微血管减压术,能够降低并发症发生率,改善患者预后生活质量,从而能够提升治疗效果,因此证明微血管减压与感觉根部分切断联合治疗方式,值得在三叉神经痛的临床治疗工作中推广实施。Objective To retrospectively analyze the effect of trigeminal nerve microvascular decompression and partial trigeminal nerve sensory root transection for trigeminal neuralgia.Methods 54 patients with trigeminal neuralgia who were admitted to the neurosurgery department from October 2019 to December 2020 in the hospital were selected.According to the different treatment methods,they were divided into control group and study group,each with 27 cases.Patients in the control group underwent microvascular decompression(MVD),and patients in the study group underwent microvascular decompression(MVD)combined with partial sensory root resection(RSR)to compare the treatment effects of the two groups.Results The effective rate of treatment in the study group was 96.30%,and the effective rate in the control group was 70.37%,the difference was statistically significant(χ^(2)=4.800,P<0.05),the operation time of the study group was(163.97±8.14)min,and the hospital stay was(14.81±1.55)d,the operation time of the control group was(186.74±10.63)min,and the hospitalization time was(17.89±1.04)d,the difference was statistically significant(t=8.837,8.574,P<0.05).The VAS score after treatment was(4.37±1.16)points,and the VAS score after treatment in the control group was(5.65±1.64)points.After comparing the two groups,the difference was statistically significant(t=3.311,P<0.05).The prognostic quality of life scores of the study group in terms of social ability,physiological function,health status,sleep quality,and mental health were higher than those of the control group,the difference was statistically significant(t=19.171,18.660,17.488,15.186,13.692,P<0.05).Conclusion The effect of partial sensory root amputation of trigeminal nerve is significantly better than that of microvascular decompression,which can reduce the incidence of complications,improve the prognostic quality of life of patients,and improve the treatment effect.Therefore,it is proved that the combined treatment of microvascular decompression and partial sensory

关 键 词：微血管减压 感觉根部分切断 三叉神经痛 有效性 价值 

分 类 号：R322.8[医药卫生—人体解剖和组织胚胎学]