微血管减压术治疗原发性三叉神经痛疗效分析

Efficacy Analysis of Micro Vascular Decompression in the Treatment of Trigeminal Neuralgia

目的:探讨微血管减压术治疗原发性三叉神经痛的临床疗效。方法:选取2010年1月-2013年1月本院诊治的原发性三叉神经痛患者48例,按随机数字表法分为两组,其中通过微血管加压术治疗的23例患者为试验组,通过射频热凝术治疗的25例为对照组。观察比较两组患者的治疗效果、并发症发生情况、疼痛缓解情况、复发率及死亡率。结果:试验组的总显效率高于对照组,差异有统计学意义(P<0.05);试验组疼痛缓解情况明显优于对照组,差异有统计学意义(P<0.05);两组的不良反应发生率、复发率和死亡率比较差异均无统计学意义(P>0.05)。结论:针对原发性三叉神经痛患者采用微血管减压术可以明显提高治疗效果,减轻患者痛苦,改善患者生活质量。微血管减压术对治疗原发性三叉神经痛具有十分重要的临床意义,值得推广应用。

Objective： To evaluate the clinical efficacy of micro vascular decompression treatment of primary trigeminal neuralgia.Method： 48 patients with trigeminal neuralgia in our hospital from January 2010 to January 2013 were selected, and they were randomly divided into two groups, 23 patients were treated with micro vascular compression treatment as the experimental group, and 25 patients used radiofrequency treatment as the control group. The therapeutic effects, the occurrence of complications, pain relief, recurrence rate, mortality of the two groups were observed and compared.Result： The patients in the total efficiency of the experimental group was higher than the control group, there was significant difference （ P〈0.05 ） ; pain remission in the experimental group was significantly better than the control group, the difference was statistically significant （P〈0.05） ; the adverse events, relapse and mortality rates of the two groups were compared, there were no significant differences （P〉0.05） .Conclusion： For patients with trigeminal neuralgia micro vascular decompression surgery can significantly improve the therapeutic effect, reduce patient suffering,and improve the quality of life of patients. Micro vascular decompression surgery for the treatment of Trigeminal neuralgia has very important clinical significance, should be widely applied.