CAJ | 학술논문

目的探讨微血管减压术治疗三叉神经痛(TN)的临床疗效和并发症.方法武警江苏总队南京医院口腔科自2002年8月至2009年4月共行微血管减压术治疗TN患者74例,回顾性分析患者的临床资料和疗效.结果本组患者术后均临床治愈出院,无死亡病例.术后颅内血肿1例(1.35%),术侧小脑水肿致非交通性脑积水1例(1.35%),颅内感染2例(2.7%),均经积极对症治疗后缓解.全部患者随访3个月～6年,无复发病例,遗留术侧轻微面瘫2例(2.7%),听力轻度下降1例(14%).结论微血管减压术解除了TN的常见病因,保留三叉神经的功能,是治疗TN的首选方法.
목적 탐토미혈관감압술치료삼차신경통(TN)적림상료효화병발증.방법 무경강소총대남경의원구강과자2002년8월지2009년4월공행미혈관감압술치료TN환자74례,회고성분석환자적림상자료화료효.결과 본조환자술후균림상치유출원,무사망병례.술후로내혈종1례(1.35%),술측소뇌수종치비교통성뇌적수1례(1.35%),로내감염2례(2.7%),균경적겁대증치료후완해.전부환자수방3개월～6년,무복발병례,유류술측경미면탄2례(2.7%),은력경도하강1례(14%).결론 미혈관감압술해제료TN적상견병인,보류삼차신경적공능,시치료TN적수선방법.
Objective To investigate the clinical effect of microvascular decompression on patients with trigeminal neuralgia (TN) and its complications. Methods A retrospective analysis of 74 patients with microvascular decompression, admitted to our hospital from August 2002 to April 2009,was performed; the clinical data and thc treatment efficacy were analyzed. Results The total effective rate was 100% without death. Intracranial hematoma appeared in 1 patient (1.35%); edema of the cerebellum in the operated side caused 1 patient (1.35%) having non-communicating hydrocephalus and 2 (2.7%) having intracranial infection, and all were relieved symptoms after treatment. All patients were followed up for 3 months to 6 years; no recurrence was noted; facial paralysis in 2 (2.7%) and slight hearing-loss in 1were found. Conclusion Microvascular decompression, lifting the common cause of TN and fully retaining the function of trigeminal nerve, is the preferred method for treatment of TN.