微血管减压治疗颅神经血管压迫综合症(附1470例报告)

Microvascular decompression in the treatment of cranial nerve and vascular compression syndromes (report of 1470 cases)

目的 :探讨用微血管减压术治疗三叉神经痛、面肌痉挛、舌咽神经痛等神经血管压迫综合征治疗方法改进措施和提高治疗效果的临床经验。方法 :系统回顾 1984年至 1999年我们采用微血管减压术治疗神经血管压迫综合征证病例 1470例 ,其中三叉神经痛 112 0例 ,面肌痉挛 32 0例 ,舌咽神经痛 30例。结果 :总有效 142 1例 ,有效率 96 7% ,本组无死亡。并发症发生率由 5年前 5 6 %下降到近 5年的 1 6 %。结论 :提高微血管减压术的治愈率、减少并发症有多方面因素值得考虑。

Objective:To study the possible means to improve microvascular decompression and elevate its therapeutic effects in the treatment of srch cranial nerve and vascular.compression syndromes as trigeminal neuralgia,hemifacial spasm and glossopharyngeal neuralgia.Methods:A systematic review was made for 1470 cases(1120 of trigeminal neuralgia,320 of hemifacial spasm and 30 of glossopharyngeal neuralgia) from 1984 to 1999 on whom we apllied microvascular decompression for the treatment of cranial nerve and vascular compression syndromes.Results:The grand number of cases with satisfactory effects is 1421 with an effective rate of 96.7%,and no case died in this group.The complication rate dropped from 5.6% of 5 years ago to 1.6% of the recent 5 years.Conclusion:Various factors need to be comsidered in order to elevate the cure rate and lower the possible complications of microvascular decompression.