CAJ | 학술논문

目的探讨原发性三叉神经痛的病因及显微血管减压术治疗的手术技巧.方法回顾分析从2003年11月到2007年1月本组施行微血管减压手术的110例三叉神经痛病例.结果 110例患者中,术中发现有血管压迫者107例,术后疼痛完全消失105例(95.4%),4例明显减轻,部分缓解1例.平均随访35个月,复发1例,经再次手术后治愈.结论三叉神经根显微血管减压术治疗原发性三叉神经痛疗效好,安全可靠,对神经的损伤小,应作为原发性三叉神经痛患者的首选治疗方法.
목적 탐토원발성삼차신경통적병인급현미혈관감압술치료적수술기교.방법 회고분석종2003년11월도2007년1월본조시행미혈관감압수술적110례삼차신경통병례.결과 110례환자중,술중발현유혈관압박자107례,술후동통완전소실105례(95.4%),4례명현감경,부분완해1례.평균수방35개월,복발1례,경재차수술후치유.결론 삼차신경근현미혈관감압술치료원발성삼차신경통료효호,안전가고,대신경적손상소,응작위원발성삼차신경통환자적수선치료방법.
Objective To study the etiology of idiopathic trigeminal neuralgia (TN) and the technique of microvascular decompression (MVD). Method A retrospectively analysis of the data of 110 patients with idiopathic trigeminal neuralgia treated by microvascular decompression from Nov,2003 to Jan, 2007 was performed. Results Vascular compression was observed in 107 cases during operation. Postoperatively,105 cases were totally pain free, 4 cases were relieved, 1 case was relieved partially. All the patients were followed up for an average of 35 months. The pain of one patient recurred and was healed by second operation. Conclusions The microvascular decompression is a good, safe and reliable method for the treatment of idiopathic trigeminal neuralgia. It should be the first choice of treatment.