神经松解手术治疗药物难治性偏头痛的疗效分析

Effects of medically intractable migraine with neurolysis surgery

目的探讨神经松解手术治疗药物难治性偏头痛的疗效。方法回顾性分析2019年1月~2021年1月间在黄河水利委员会黄河中心医院神经外科行神经松解手术治疗药物难治性偏头痛的150例患者,按照疼痛部位分为眶上神经痛组,耳颞神经痛组和枕大神经痛组,每组50例,分别在局麻下行神经松解手术治疗。结果三组患者手术后6个月NRS评分及MIDAS分级均优于术前,差异有统计学意义(P<O.05)。结论对于药物难治性偏头痛可采取神经松解手术治疗有效。

Objective To discuss the clinical effect of neurolysis surgery for medically intractable migraine.Methods A total of 150 patients with medically intractable migraine undergoing neurolysis surgery in the neurosurgery department of the Yellow River Conservancy Commission from Jan.2019 to Jan.2021 were analyzed retrospectively,according to the location of pain,the 150 patients were divided into supraorbital neuralgia group、ototemporal neuralgia group and greater occipital neuralgia group,50 cases in each group.All the patients were treated with neurolysis surgery under local anesthesia.Results At 6 months after operation,NRS and MIDAS were better than those before operation in all three groups(P<0.05).Conclusion Medically intractable migraine can be taken neurolysis surgery,which is effective.