CAJ | 학술논문

目的探讨显微血管减压术治疗偏头痛患者术后影响预后的相关因素.方法随访2006年1月至2010年7月在我院接受显微血管减压术治疗的96例偏头痛患者,回顾性分析疼痛发作部位,范围以及术中病变特征与预后相关关系.结果随访1-4年(平均随访24.6个月),完全治愈73％,总有效率(治愈+显效)91％,好转7％,无效2％,其中耳颞区域、眶额区域、后枕区域以及两个或两个以上复合区域治愈率和总有效率分别为58％、83％、88％、62％和90％、92％、96％、81％.提示耳颞及复合区域的根治效果低于其他区域.另外,术中发现神经受血管卡压较明显的病例,其减压效果较显著.结论显微血管减压手术方法是治疗偏头痛的一种有效的外科手段,而疼痛部位、疼痛范围以及不同病变特征与其预后密切相关.
목적 탐토현미혈관감압술치료편두통환자술후영향예후적상관인소.방법 수방2006년1월지2010년7월재아원접수현미혈관감압술치료적96례편두통환자,회고성분석동통발작부위,범위이급술중병변특정여예후상관관계.결과 수방1-4년(평균수방24.6개월),완전치유73％,총유효솔(치유+현효)91％,호전7％,무효2％,기중이섭구역、광액구역、후침구역이급량개혹량개이상복합구역치유솔화총유효솔분별위58％、83％、88％、62％화90％、92％、96％、81％.제시이섭급복합구역적근치효과저우기타구역.령외,술중발현신경수혈관잡압교명현적병례,기감압효과교현저.결론 현미혈관감압수술방법시치료편두통적일충유효적외과수단,이동통부위、동통범위이급불동병변특정여기예후밀절상관.
Objective To explore the microscopic vascular decompression surgery for the prognosis in patients with migraine of related factors.Methods Attack,pain,scope and part intraoperative lesions characteristic and the prognosis were retrospectively analyzed in 96 cases of migraine patients witch accepted microscopic vascular decompression treatment from January 2006 to July 2010 in our hospital.Results 1 to 4 years of follow - up ( average follow - up of 24.6 months),and complete cure was 73 ％,total effective (cure + efficient) was91％,improvement was 7％,2％ among them was invalid.The temporal ears、orbital frontal 、after pillow and two or more than two composite regional cure rate and the total effective rate were 58％,83％,88％,62％ and 90％,92％,96％,81％.Point out the temporal ears and composite region of the effect than other areas.In addition,intraoperative found the oppressed nerve by vascular more apparent cases,the reduced pressure effect is remarkable.Conclusion Microscopic vascular decompression surgery method for the treatment of migraine is an effective surgical methods,and painful place,pain in the range and different lesions characteristics is closely related with its prognosis.