显微血管减压治疗原发性三叉神经痛126例临床分析

Clinical study of effectiveness of microvascular decompression in the treatment of trigeminal neuralgia

目的 探讨微血管减压术治疗三叉神经痛的手术方法及疗效。 方法 原发性三叉神经痛 12 6例 ,经乙状窦后入路行显微外科微血管减压术。术中发现 12 2例血管压迫神经 ,用涤纶棉垫隔分离减压。 结果 随访 113例 ,随访时间 (1- 9)年 ,术后疼痛消失、减轻 110例 ,总有效率达 97 3% (110 /113)。 结论 显微血管减压术是治疗三叉神经较为理想的方法 ,手术创伤小 ,并发症少 ,疗效好。

Objective To evaluate effectiveness of microvascular decompression in the treatment of trigeminal neuralgia. Methods 126 cases of trigeminal neuralgia were operated on by microvascular decompression via suboccipital retrosigmoid approach. It was found that nerves were compressed by vessels nerves in 122 cases. Cotton of Teflon was implanted between oppressive trigeminal nerve roots and vessels by minimally invasive surgery. Results 113 of 126 cases were followed up postoperatively for (1～9)years. Pain disappeared or died down in 110 cases. The total effective rate was 97.3%(110/113). Conclusions Microvascular decompression is effective treatment for trigeminal neuralgia.