原发性三叉神经痛的微血管减压术治疗

目的评价微血管减压术治疗原发性三叉神经痛的效果。方法运用三叉神经微血管减压术探查三叉神经并分离责任血管,在微血管与三叉神经间垫入Teflon涤纶绵。结果20例患者术后疼痛完全缓解19例,仅1例仍有轻微疼痛,无永久性并发症。结论三叉神经微血管减压术是三叉神经痛的一种病因性治疗,疗效确切,三叉神经功能可以得到保护,是首选治疗方法。

Objectives To evaluate the efficiency of microvascular decompression （MVD） for the treatment of primary trigenminal neuralgia. Methods Microvascular decompression was used to explore the trigeminal nerve and the offending vessels, then separate them by Teflon. Results 19 of 20 cases were cured, 1 case was suffered mild pain still. There was no permanence complication. Conclusion Microvascular decompression is an etiotropic treatment of primary trigeminal neuralgia. It may be the first choice for its effectiveness and protection of trigeminal function.