微血管减压术治疗三叉神经痛及舌咽神经痛1150例报告

MICROVASCULAR DECOMPRESSION IN THE TREATMENT OF TRIGEMINAL NEURAL GIA AND GLOSSOPHARYNGEAL NEURALGIA: REPORT OF 1150 CASES

摘要:

目的:探讨用微血管减压术治疗三叉神经痛、舌咽神经痛等神经血管压迫综合症治疗方法的改进措施和提高治疗效果的临床经验。方法:系统回顾1984年6月至1999年12月我们采用微血管减压术治疗神经血管压迫综合症病例1150例,其中三叉神经痛1120例,舌咽神经痛30例。结果:有效1112例,有效率为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和减少并发症,有多方面因素值得考虑。

Abstract:

Objective: To study the possible methods to improve microvascular decompression and to enhance the therapeutic effects in the treatment of cranial nerve syndromes as trigeminal neuralgia and glos-sopharyngeal neuralgia by vascular compression. Methods: A systematic review was made for 1150 cases ( 1120 of trigeminal neuralgia and 30 of glossopharyngeal neuralgia) on whom we applied microvascular decompression. Results: The grand number of cases with satisfactory effects was 1112 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 enhance the cure rate and to decrease the possible complications of microvascular decompression.