根性三叉神经痛的病因与显微外科治疗的相关性研究

STUDY ON THE RELATIONSHIP BETWEEN THE ETIOLOGY AND THE MICROSURGICAL TREATMENT OF TRIGEMINAL NEURALGIA

摘要:

研究三叉的神经痛的病因与手术选择的关系。方法：对６０例病人借助手术显微镜详细观察三叉神经根部的情况，并确定所适应的手术方式。结果：６０例中，５０例有明确病因，包括血管压迫３０例，蛛网膜粘连１５例，神经根变性３例，神经根脂胆瘤２例。均进行了外科治疗；实施神经根减压术３９例，感觉根切断１１例。长期随访，效果良好。结论：提高治愈率的关键是术中准确判定病因，并依此选择相应的手术。

Abstract:

Objective: To study the relationship between the etiology and elective of surgical procedures for trigeminal neuralgia. Methods: Trigeminal nerve roots were observed carefully by using microscope in 60 patients. Results: There were definite causes of disease in 50 cases, vascular compression in 30 cases, archnoid adhesion in 15 cases, nerve root degeneration in 3 cases and cholesteatoma in 2 cases. Nerve root decompression was performed in 39 cases, and sensory radiculotomy in 11 cases. There were satisfactary results by long term follow up, only 2 patients had recurrence. Conclusion: the key of improving cure rate is that the causes were confirmed in surgical operation and the surgical procedures were elected according to the causes.