微血管减压术治疗原发性三叉神经痛(附75例报告)  

Microvascular decompression for the treatment of idiopathic trigeminal neuralgia(An analysis of 75 cases)

作　　者：凌至培[1] 姜晓峰[1] 夏养华[1] 牛朝诗[1] 夏成雨[1] 

机构地区：[1]安徽省立医院神经外科,合肥230001

出　　处：《立体定向和功能性神经外科杂志》2004年第1期19-21,共3页Chinese Journal of Stereotactic and Functional Neurosurgery

基　　金：安徽省卫生厅资助项目 (编号 :2 0 0 2B0 5 0 )

摘　　要：目的　评价微血管减压术治疗原发性三叉神经痛的临床疗效。方法　 1998年至 2 0 0 3年采用微血管减压术治疗 75例原发性三叉神经痛 ,对其疗效、并发症及不良反应进行分析。结果　 73例有效 (总有效率 97.3% ) ,其中疗效优者 70例 (93.3% ) ,疗效良者 3例 (4 % ) ,无效者 2例 (2 .7% ) ;并发症有脑脊液漏 1例、轻度面瘫 2例、面部麻木 6例、术后口唇嘴角处疱疹 11例。不良反应包括头痛、头晕、恶心、呕吐等。结论　微血管减压术是一种病因性治疗 ,具有治愈率高保持三叉神经功能的特点 ,是原发性三叉神经痛外科治疗的首选方法。Objective To evaluate the clinical effect of microvascular decompression(MVD) for idiopathic trigeminal neuralgia.Methods From 1998 to 2003,MVD was performed in 75 patients with idiopathic trigeminal neuralgia.The effect,complications and side effects were assessed.Results Pain relief in 73 casses(97.3%),excellent results in 70(93.3%) and good results in 3(4%),Pain remained in 2 (2.7%).Complications included cerebrospinal fluid fistula in 1 case,mild facial paresis in 2,facial numbness in 6 and labial herpes in 11.Side effects included headache,dizziness,nausea and vomiting.Conclusion MVD is a curative and nontraumatic method with a high rate of pain relief and lower recurrence rate,it is the method of first choice for idiopathic trigeminal neuralgia.

关 键 词：微血管减压术 手术治疗 原发性三叉神经痛 并发症 不良反应 

分 类 号：R745.11[医药卫生—神经病学与精神病学] R651[医药卫生—临床医学]