CAJ | 학술논문

目的探讨三叉神经痛患者行显微血管减压术后影响疗效的因素.方法随访2 826例经显微血管减压术治疗的三叉神经痛患者,时间1 - 25年(平均9.8年).结果长期治愈率86.8％,显效率4.5％,有效率2.0％,无效1.6％,疼痛复发率5.1％,遗留并发症率7.0％.主观满意度≥80％者占85.2％,满意度＜80％者占14.8％.结论病程短、症状典型、以动脉压迫为主、实施有效的减压,术后多能获得好的疗效.相反,以静脉及无名动脉压迫为主,病程长及症状不典型的患者,术后疗效多不理想.
목적 탐토삼차신경통환자행현미혈관감압술후영향료효적인소.방법 수방2 826례경현미혈관감압술치료적삼차신경통환자,시간1 - 25년(평균9.8년).결과 장기치유솔86.8％,현효솔4.5％,유효솔2.0％,무효1.6％,동통복발솔5.1％,유류병발증솔7.0％.주관만의도≥80％자점85.2％,만의도＜80％자점14.8％.결론 병정단、증상전형、이동맥압박위주、실시유효적감압,술후다능획득호적료효.상반,이정맥급무명동맥압박위주,병정장급증상불전형적환자,술후료효다불이상.
Objective To research the factors that affect the efficacy of 2 826 cases of trigeminal neuralgia after microvascular decompression that follow - up more than 1 year.Method 1 - 25 years ( mean 9.8 years) were followed - up for the patients with trigeminal neuralgia after microvascular decompression from January 1984 to January 2009.Results The long - term cure rate was 86.8％,markedly effective rate was 4.5％,efficiency was 2.0％,inefficiency was 1.6％.Pain recurrence rate was 5.1％,remaining complication rate was 7.0％,subjective satisfaction equal to or greater than 80％ accounted for 85.2％,satisfaction with less than 80％ accounted for 14.8％.Conclusions The patients with short course,typical symptoms,the main compression of artery and the implementation of effective decompression,mostly contribute to a good results after the operation.On contrast,the efficacy of those who with the main compression of vein and innominate artery,long course and atypical symptoms is often unsatisfactory.