微血管减压术治疗原发性三叉神经痛的临床分析

Clinical analysis of microvascular decompression for idiopathic trigeminal neuralgia

目的探讨原发性三叉神经痛微血管减压术手术疗效及相关因素,总结手术体会。方法回顾我科实施微血管减压术的67例原发性三叉神经痛患者,结合年龄、病程、临床分型、压迫血管类型、近期预后等因素进行临床分析。结果 67例患者术后疼痛均完全缓解,无后期并发症。结论三叉神经微血管减压术是针对三叉神经痛发病机制的有效治疗措施,目前成为首选治疗方法 。

Objective To explore the efficacy and related factors of idiopathic trigeminal neuralgia after microvascular decompression and summarize the management techniques.Methods 67 cases with idiopathic trigeminal neuralgia treated by microvascular decompression were reviewed,and the fators of age,course of disease,clinical types,category of blood vessel compression,short-term prognosis and so on were retrospectively analyzed.Results Neuralgia disappeared in all the 67 cases and no permanent complication occurred.Conlusion Microvascular decompression is an etiotropic treatment of idiopathic trigeminal neuralgia.It may be the preferred choice for trigeminal neuralgia.