CAJ | 학술논문

目的：总结经上颌窦眶下神经撕脱，联合阿霉素神经干注药，治疗三叉神经Ⅱ支痛的疗效。方法：对32例原发性三叉神经Ⅱ支痛患者行经上颌窦眶下神经撕脱联合阿霉素神经干注药治疗，术后对25例患者复诊或电话随访5年以上。结果：31例患者在术后1周内三叉神经疼痛症状完全消失，1例无效；术后均并发眶下区不同程度肿胀1～2周，伴患侧眶下区、上唇区、上颌牙齿、鼻翼部等区域麻木；25例术后随访5年以上，共5例复发，其中板机点在眶下神经支配区的仅2例复发。结论：经上颌窦眶下神经撕脱联合阿霉素神经干注药治疗三叉神经Ⅱ支痛，对于板机点在眶下神经支配区的三叉神经Ⅱ支痛，是一种安全、简单、创伤小而非常有效的手术治疗方法。
목적：총결경상합두광하신경시탈，연합아매소신경간주약，치료삼차신경Ⅱ지통적료효。방법：대32례원발성삼차신경Ⅱ지통환자행경상합두광하신경시탈연합아매소신경간주약치료，술후대25례환자복진혹전화수방5년이상。결과：31례환자재술후1주내삼차신경동통증상완전소실，1례무효；술후균병발광하구불동정도종창1～2주，반환측광하구、상진구、상합아치、비익부등구역마목；25례술후수방5년이상，공5례복발，기중판궤점재광하신경지배구적부2례복발。결론：경상합두광하신경시탈연합아매소신경간주약치료삼차신경Ⅱ지통，대우판궤점재광하신경지배구적삼차신경Ⅱ지통，시일충안전、간단、창상소이비상유효적수술치료방법。
Objective: To review the effects of nerve avulsion technique combined with adriamycin nerve trunk injection in the treatment of trigeminal neuralgia (Ⅱ). Methods: 32 patients with the trigeminal neuralgia ( Ⅱ) were comprised in this study. All patients were underwent cooperation treatment of avulsion of the infraorbital nerve through the maxillary sinus, and injection of adriamycin to the infraorbital nerve trunk. 26 patients were followed up over 5 years. Results:Trigeminal neuropathic pain in all patients were relieved within one week after operation. Among the 26 follow-up cases, 5 patients recurred. Conclusion:This therapy is a safe, simple, minimal invasive, and effective method for relieve trigeminal neuralgia(Ⅱ) which has a trigger point innervated by the infraorbital nerve.