中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2010年
7期
640-642
,共3页
郑鲁%楚燕飞%姚智强%常书锋%刘华%方丹东%李雅斌%刘妍%刘博%刘志兴%张宗昆
鄭魯%楚燕飛%姚智彊%常書鋒%劉華%方丹東%李雅斌%劉妍%劉博%劉誌興%張宗昆
정로%초연비%요지강%상서봉%류화%방단동%리아빈%류연%류박%류지흥%장종곤
三叉神经痛%外科手术%小脑水平裂%小脑脑桥裂%微血管减压术
三扠神經痛%外科手術%小腦水平裂%小腦腦橋裂%微血管減壓術
삼차신경통%외과수술%소뇌수평렬%소뇌뇌교렬%미혈관감압술
Trigeminal neuralgia%Surgical procedures,operative%Horizontal fissure%Cerebellopontine fissure%Microvascular decompression
目的 介绍一种经小脑水平裂-小脑脑桥裂治疗三叉神经痛的手术入路.方法 回顾性分析经小脑水平裂-小脑脑桥裂人路治疗的17例三叉神经痛病例.结果 所有患者均可顺利分开小脑水平裂外侧部和小脑脑桥裂上肢,均发现有责任血管压迫,术后立即止痛15例,2例疼痛分别于术后第2、3天完全消失.术后1例出现口唇疱疹,1例患侧面部轻微麻木.结论 经小脑水平裂-小脑脑桥裂入路治疗三叉神经痛,可以避免传统的枕下乙状窦后人路三叉神经感觉根人脑桥处显露不良的缺陷,减少听力下降、面瘫等并发症的发生.
目的 介紹一種經小腦水平裂-小腦腦橋裂治療三扠神經痛的手術入路.方法 迴顧性分析經小腦水平裂-小腦腦橋裂人路治療的17例三扠神經痛病例.結果 所有患者均可順利分開小腦水平裂外側部和小腦腦橋裂上肢,均髮現有責任血管壓迫,術後立即止痛15例,2例疼痛分彆于術後第2、3天完全消失.術後1例齣現口脣皰疹,1例患側麵部輕微痳木.結論 經小腦水平裂-小腦腦橋裂入路治療三扠神經痛,可以避免傳統的枕下乙狀竇後人路三扠神經感覺根人腦橋處顯露不良的缺陷,減少聽力下降、麵癱等併髮癥的髮生.
목적 개소일충경소뇌수평렬-소뇌뇌교렬치료삼차신경통적수술입로.방법 회고성분석경소뇌수평렬-소뇌뇌교렬인로치료적17례삼차신경통병례.결과 소유환자균가순리분개소뇌수평렬외측부화소뇌뇌교렬상지,균발현유책임혈관압박,술후립즉지통15례,2례동통분별우술후제2、3천완전소실.술후1례출현구진포진,1례환측면부경미마목.결론 경소뇌수평렬-소뇌뇌교렬입로치료삼차신경통,가이피면전통적침하을상두후인로삼차신경감각근인뇌교처현로불량적결함,감소은력하강、면탄등병발증적발생.
Objective A new approach of transhorizontai - cerebellopontine fissure for microvascular decompression ( MVD) of trigeminal neuralgia ( TN) was reported. Method A retrospetive analysis of the data of 17 consecutive patients with TN by transhorizontai -cerebellopontine fissure approach for MVD was performed. Results The dissection of the cerebellar horizontal - cerebellopontine fissures of the 17 cases was performed sucessfully which allowed easy identification of the root entry zone of trigeminal nerve and the offending vessel(s). Offending vessels were found in all of the 17 cases. Postoperatively,15 cases were pain free immediately and 2 cases were pain free after 2 and 3 days respectively. One case developed herpes labialis and one case slightly face numbness. Conclusions The transhorizontai -cerebellopontine fissure approach for MVD of TN could avoid the defects of standard suboccipital retrosigmoidal approach, which allowes easy identification of the root entry zone of trigeminal nerve and offending vessel(s). Minimal retraction of facial nerve and vestibulocochlear nerve could be achieved thus reduction of complication rate of heaing disturbance and facial paralysis couild be found.
