CAJ | 학술논문

目的：探讨微血管减压术（MVD）治疗老年原发性三叉神经痛（TN）的疗效和安全性。方法回顾分析了100例65岁以上的老年原发性TN患者（老年组）MVD术后的疗效及其并发症，并与同期60例65岁以下患者（对照组）进行对比。结果老年组90例（90.0%）患者术后疼痛完全消失，8例（8.0%）疼痛减轻，2例（2.0%）失败后行经皮穿刺三叉神经半月节微球囊压迫术，术后内疼痛消失；对照组57例（95.0%）患者术后疼痛完全消失，3例（5.0%）疼痛减轻。两组疗效无统计学差异（P＞0.05），但对照组术后低颅压症状较老年组突出。结论随着围术期诊疗技术的改进，MVD可治愈或缓解老年原发性TN。
목적：탐토미혈관감압술（MVD）치료노년원발성삼차신경통（TN）적료효화안전성。방법회고분석료100례65세이상적노년원발성TN환자（노년조）MVD술후적료효급기병발증，병여동기60례65세이하환자（대조조）진행대비。결과노년조90례（90.0%）환자술후동통완전소실，8례（8.0%）동통감경，2례（2.0%）실패후행경피천자삼차신경반월절미구낭압박술，술후내동통소실；대조조57례（95.0%）환자술후동통완전소실，3례（5.0%）동통감경。량조료효무통계학차이（P＞0.05），단대조조술후저로압증상교노년조돌출。결론수착위술기진료기술적개진，MVD가치유혹완해노년원발성TN。
Objective To assess the efficacy and safety of microvascular decompression (MVD) for elderly patients with trigeminal neuralgia. Methods One hundred patients over 65 with trigeminal neuralgia (elderly group) and 60 patients aged<65y (control group) received microvascular decompression for trigeminal neuralgia, the clinical data and treatment results were reviewed and compared between two groups. Results In elderly group, 90 cases (90.0%) had pain eliminated, 8 cases (8.0%) had pain relieved, 2 cases (2.0%) had no effect and then received percutaneous bal oon compression;while in control patients, 57 cases(95.0%) had pain eliminated and 3 cases(5.0%) had pain relieved. There was no statistical difference in curative effect between the two groups(P>0.05). However, younger patients had more serere postoperation low intracranial pressure symptom than elderly patients. Conclusion Microvascular decompression can safely provide cure or al eviation of pain for elderly patients with trigeminal neuralgia.