神经导航定位辅助微血管减压术治疗原发性三叉神经痛的效果  

Therapeutic effects of for neuronal navigation assisted microvascular decompression surgery in the patients with primary trigeminal neuralgia

作　　者：韦刚 WEI Gang(Department of Neurosurgery,Liuzhou Hospital of Traditional Chinese Medicine,Liuzhou 545001,China)

机构地区：[1]柳州市中医医院神经外科,柳州545001

出　　处：《华夏医学》2024年第5期192-197,共6页Acta Medicinae Sinica

基　　金：广西壮族自治区卫生健康委员会科研课题(Z-B20231513)。

摘　　要：目的探讨通过神经导航定位横窦-乙状窦角(TSSA)辅助微血管减压术(MVD)治疗原发性三叉神经痛(PTN)的效果。方法选取柳州市中医医院神经外科病区收治的PTN患者94例,按照随机数字表法分为观察组与对照组,每组47例。观察组采用神经导航定位辅助MVD治疗,对照组采用传统中医外治———针灸治疗。治疗后随访36个月,对比两组的有效率、VAS评分、复发率。结果治疗后,观察组总有效率为100%,对照组总有效率为89.4%,观察组有效率明显高于对照组,差异有统计学意义(P<0.05);观察组VAS评分、复发率均显著低于对照组(P<0.05)。结论神经导航定位TSSA辅助MVD利于充分暴露三叉神经,减少对小脑牵拉,增加对岩静脉保护,显著改善患者疼痛,降低复发率,较传统针灸治疗,更值得临床推广。Objective To explore the effect of neuronal navigation to locate the transverse sigmoid sinus angle(TSSA)assisted microvascular decompression surgery(MVD)in the patients with primary trigeminal neuralgia(PTN).Methods 94 patients with PTN were selected from the neurosurgery department of Liuzhou Traditional Chinese Medicine Hospital.The patients were divide into observation group and control group according to the random number table method,with 47 cases in each group.The patients with the observation group were treated with neuronal navigation assisted microvascular decompression(MVD),and the patients with the control group were treated with traditional Chinese medicine external treatment acupuncture and moxibustion.After treatment,the patients were followed up for 36 months and the effective rate,VAS score,and recurrence rate were compared between the two groups of pctients.Results After treatment,the total effective rate of the observation group was 100%,while the total effective rate of the control group was 89.4%.The effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The VAS score and recurrence rate in the observation group were significantly lower than those in the control group(P<0.05).Conclusion Neuronal navigation guided TSSA assisted MVD fully exposes trigeminal nerve,reduces cerebellar traction,increases petrosal vein protection,improves significantly patients′pain and reduces recurrence rate,which is more worthy of clinical promotion than traditional acupuncture and moxibustion treatment.

关 键 词：神经导航定位 横窦-乙状窦角 微血管减压术 原发性三叉神经痛 

分 类 号：R246.6[医药卫生—针灸推拿学]