Experience of Microvascular Decompression for Primary Trigeminal Neuralgia_West China Medical Journal

Authors：

Department of Neurosurgery, Suining Central Hospital, Suining Sichuan 629000, China;

Corresponding author：

Keywords：

三叉神经痛; 微血管减压

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的:探讨原发性三叉神经痛微血管减压的手术效果及其影响因素。方法:选择正规药物治疗无效的三叉神经痛患者行核磁共振检查,排除继发性病因引起三叉神经痛的患者,对30例原发性三叉神经痛患者行微血管减压术。结果:28例患者术后疼痛立即消失,1例患者症状明显缓解,1例无效,无死亡患者,有效率为97％,随访1年有１例复发。结论:术前核磁共振检查能否发现责任血管,对手术和术后效果影响大;但同时与术者的经验和显微操作熟练程度密切相关。

Citation： ZENG Chun,JIANG Yongming,GAO Jinyue,et al.. Experience of Microvascular Decompression for Primary Trigeminal Neuralgia. West China Medical Journal, 2009, 24(6): 1479-1481. doi: Copy

1.	王忠诚主编．神经外科学[M].武汉:湖北科学技术出版社,2002．.
2.	RYU H, YAMAMOTO S, SUGIYAMA K, et al. Neurovascular decompression for trigeminal neuralgia in elderly patients[J]. Neurol Med Chir (Tokyo),1999,39(3):226-230．.
3.	高明见．采用经皮热凝神经术辅助经皮热凝三叉神经节根治三叉神经痛[J].中华神经外科杂志,2006,22:223-225．.
4.	高宝山,段云平,黄坤,等.显微血管减压及神经松解手术治疗颅神经疾病1956例[J].中华神经外科杂志,2006,22:606-608..
5.	赵卫国．颅神经疾病病因的影像学诊断[J].诊断学理论与实践,2004,3:74-76.
6.	JANNETTA PETER J, MCLAUGHLIN MARK R, CASEY KENNETH F. Technique of microvascular decompression. Technical note[J]. Neurosurg Focus,2005,18(5):E5．.
7.	陈国强,李锐,郭京．三叉神经痛微血管减压术导致患者死亡的手术并发症[J].立体定向和功能神经外科杂志,2004,17:44-46.
8.	赵卫国,濮春华,李宇,等.三叉神经痛的病人诊断和显微手术治疗[J].中华神经外科杂志,2006,22:681-683.
9.	吴卫华,赵艳丽,李良民.微血管减压术治疗原发性三叉神经痛手术体会[J].中华神经外科杂志,2007,23:952.

1. 王忠诚主编．神经外科学[M].武汉:湖北科学技术出版社,2002．.
2. RYU H, YAMAMOTO S, SUGIYAMA K, et al. Neurovascular decompression for trigeminal neuralgia in elderly patients[J]. Neurol Med Chir (Tokyo),1999,39(3):226-230．.
3. 高明见．采用经皮热凝神经术辅助经皮热凝三叉神经节根治三叉神经痛[J].中华神经外科杂志,2006,22:223-225．.
4. 高宝山,段云平,黄坤,等.显微血管减压及神经松解手术治疗颅神经疾病1956例[J].中华神经外科杂志,2006,22:606-608..
5. 赵卫国．颅神经疾病病因的影像学诊断[J].诊断学理论与实践,2004,3:74-76.
6. JANNETTA PETER J, MCLAUGHLIN MARK R, CASEY KENNETH F. Technique of microvascular decompression. Technical note[J]. Neurosurg Focus,2005,18(5):E5．.
7. 陈国强,李锐,郭京．三叉神经痛微血管减压术导致患者死亡的手术并发症[J].立体定向和功能神经外科杂志,2004,17:44-46.
8. 赵卫国,濮春华,李宇,等.三叉神经痛的病人诊断和显微手术治疗[J].中华神经外科杂志,2006,22:681-683.
9. 吴卫华,赵艳丽,李良民.微血管减压术治疗原发性三叉神经痛手术体会[J].中华神经外科杂志,2007,23:952.

West China Medical Journal

Experience of Microvascular Decompression for Primary Trigeminal Neuralgia

Abstract Full text Figures/Tables Video References Cited by

Format

Content