内镜下经颅舌咽神经切断术治疗原发性舌咽神经痛

Transcranial endoscopic excision of glossopharyngeal nerve to treat glossopharyngeal neuralgia

目的:探讨在内镜下经颅舌咽神经切断术治疗原发性舌咽神经痛的新方法。方法:分析2例内镜下经颅舌咽神经切断术治疗原发性舌咽神经痛患者的临床资料、手术方法、手术效果以及随访结果。复习相关文献,讨论原发性舌咽神经痛的治疗进展以及内镜下经颅舌咽神经切断术的优势。结果:2例患者经颅舌咽神经切断术治疗原发性舌咽神经痛均取得满意效果,内镜下手术具有创伤小、损伤轻、视野清晰、操作精确、疗效确切、并发症少、恢复快等优点。结论:在内镜下经颅舌咽神经切断术是治疗原发性舌咽神经痛的一种较理想的手术方法。

Objective： To introduce a new transcranial endoscopic approach of glossopharyngeal neurotomy to treat glossopharyngeal neuralgia. Method： The clinical data, the operative technique, the operative effect and the result of follow-up of two patients were presented. Through reviewing pertinent literature, we discussed the therapeutic advancement of glossopharyngeal neuralgia and the preponderance of transcranial endoscopic approach of glossopharyngeal neurotomy. Result： The two patients both have satisfied outcomes and remained free of disease after surgical treatment. The endoscopic surgery has many significant advantages, such as rigorous operation, little injury, precise therapeutic effect, few complication, and so on. Conclusion： Transcranical endoscopic approach of glossopharyngeal neurotomy is an ideal method to treat glossopharyngeal neuralgia.