微血管减压术治疗典型和非典型三叉神经痛患者的不同疗效分析  

Different therapeutic effects of microvascular decompression in the treatment of typical and atypical trigeminal neuralgia

作　　者：武通帅 何佳伟 张良 王占祥 WU Tongshuai;HE Jiawei;ZHANG Liang;WANG Zhanxiang(Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital,Third Hospital of Shanxi Medical University,Taiyuan,Shanxi 030032,China;Department of Neurosurgery,the First Affiliated Hospital of Xiamen University,School of Medicine,Xiamen University,Xiamen,Fujian 361000,China)

机构地区：[1]山西白求恩医院(山西医学科学院同济山西医院),山西医科大学第三医院,山西太原030032 [2]厦门大学医学院,厦门大学附属第一医院神经外科,福建厦门361000

出　　处：《中华神经外科疾病研究杂志》2024年第4期31-36,共6页Chinese Journal of Neurosurgical Disease Research

基　　金：福建省自然科学基金卫生联合重点项目(2020J02063)。

摘　　要：目的运用meta分析对比典型和非典型三叉神经痛患者行微血管减压术后的治疗效果。方法检索数据库,对纳入研究进行质量评价,用Review Manage对2种分型患者的术后疗效予以分析。结果典型三叉神经痛患者术后疼痛即刻缓解率、术后5年疼痛缓解率及治愈率更高,非典型患者术后复发率更高。结论微血管减压术后,典型患者更容易获得疼痛的缓解。Objective To compare the therapeutic effects of microvascular decompression in patients with typical and atypical trigeminal neuralgia.Methods The database was retrieved,and the quality of the included studies was evaluated.The postoperative efficacy of the two types of patients was analyzed by Review Manage.Results The immediate pain relief rate,5-year pain relief rate and cure rate of patients with typical trigeminal neuralgia were higher,and the recurrence rate of patients with atypical trigeminal neuralgia was higher.Conclusion After microvascular decompression,patients with typical trigeminal neuralgia are more likely to obtain pain relief.

关 键 词：原发性三叉神经痛 典型三叉神经痛 非典型三叉神经痛 微血管减压术 

分 类 号：R651.1[医药卫生—外科学]