CAJ | 학술논문

目的探讨微血管减压（MVD）治疗三叉神经痛术后迟发性面瘫的病因及预防。方法回顾性分析我院297例三叉神经痛患者的临床资料，均行MVD手术，总结术后出现迟发性面瘫的时间、预后。结果本组患者并发迟发性同侧周围性面瘫共7例，都发生在术后4~14 d，发病率2.4%，使用药物保守治疗后均治愈。结论熟悉三叉神经微血管减压术后迟发性面瘫的可能病因、发生时间及预后有助于避免MVD术后并发症的预防，指导临床医生对于三叉神经微血管减压术的进一步改进。
목적탐토미혈관감압（MVD）치료삼차신경통술후지발성면탄적병인급예방。방법회고성분석아원297례삼차신경통환자적림상자료，균행MVD수술，총결술후출현지발성면탄적시간、예후。결과본조환자병발지발성동측주위성면탄공7례，도발생재술후4~14 d，발병솔2.4%，사용약물보수치료후균치유。결론숙실삼차신경미혈관감압술후지발성면탄적가능병인、발생시간급예후유조우피면MVD술후병발증적예방，지도림상의생대우삼차신경미혈관감압술적진일보개진。
Objective To study the microvascular decompression (MVD) causes and prevention of delayed facial paralysis after treatment of trigeminal neuralgia. Methods A retrospective analysis of clinical data in 297 patients with trigeminal neuralgia, underwent MVD operation, time, prognosis of delayed facial paralysis after operation appeared summary. Results In this group of patients with delayed ipsilateral facial paralysis in 7 cases, al occurred at 4~14d after operation, the incidence rate of 2.4%, the use of drugs after conservative treatment were cured. Conclusion The possible etiology, familiar with microvascular decompression of the trigeminal nerve of delayed facial paralysis occurring time and prognosis helps avoid the prevention of complications after MVD, further improve the guide clinicians for microvascular decompression of the trigeminal nerve.