中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
28期
10-12
,共3页
微血管减压术%原发性三叉神经痛%临床疗效
微血管減壓術%原髮性三扠神經痛%臨床療效
미혈관감압술%원발성삼차신경통%림상료효
Micro vascular decompression%Trigeminal neuralgia%Clinical efficacy
目的：探讨微血管减压术治疗原发性三叉神经痛的临床疗效。方法：选取2010年1月-2013年1月本院诊治的原发性三叉神经痛患者48例，按随机数字表法分为两组，其中通过微血管加压术治疗的23例患者为试验组，通过射频热凝术治疗的25例为对照组。观察比较两组患者的治疗效果、并发症发生情况、疼痛缓解情况、复发率及死亡率。结果：试验组的总显效率高于对照组，差异有统计学意义（P<0.05）；试验组疼痛缓解情况明显优于对照组，差异有统计学意义（P<0.05）；两组的不良反应发生率、复发率和死亡率比较差异均无统计学意义（P>0.05）。结论：针对原发性三叉神经痛患者采用微血管减压术可以明显提高治疗效果，减轻患者痛苦，改善患者生活质量。微血管减压术对治疗原发性三叉神经痛具有十分重要的临床意义，值得推广应用。
目的：探討微血管減壓術治療原髮性三扠神經痛的臨床療效。方法：選取2010年1月-2013年1月本院診治的原髮性三扠神經痛患者48例，按隨機數字錶法分為兩組，其中通過微血管加壓術治療的23例患者為試驗組，通過射頻熱凝術治療的25例為對照組。觀察比較兩組患者的治療效果、併髮癥髮生情況、疼痛緩解情況、複髮率及死亡率。結果：試驗組的總顯效率高于對照組，差異有統計學意義（P<0.05）；試驗組疼痛緩解情況明顯優于對照組，差異有統計學意義（P<0.05）；兩組的不良反應髮生率、複髮率和死亡率比較差異均無統計學意義（P>0.05）。結論：針對原髮性三扠神經痛患者採用微血管減壓術可以明顯提高治療效果，減輕患者痛苦，改善患者生活質量。微血管減壓術對治療原髮性三扠神經痛具有十分重要的臨床意義，值得推廣應用。
목적：탐토미혈관감압술치료원발성삼차신경통적림상료효。방법：선취2010년1월-2013년1월본원진치적원발성삼차신경통환자48례，안수궤수자표법분위량조，기중통과미혈관가압술치료적23례환자위시험조，통과사빈열응술치료적25례위대조조。관찰비교량조환자적치료효과、병발증발생정황、동통완해정황、복발솔급사망솔。결과：시험조적총현효솔고우대조조，차이유통계학의의（P<0.05）；시험조동통완해정황명현우우대조조，차이유통계학의의（P<0.05）；량조적불량반응발생솔、복발솔화사망솔비교차이균무통계학의의（P>0.05）。결론：침대원발성삼차신경통환자채용미혈관감압술가이명현제고치료효과，감경환자통고，개선환자생활질량。미혈관감압술대치료원발성삼차신경통구유십분중요적림상의의，치득추엄응용。
Objective:To evaluate the clinical efficacy of micro vascular decompression treatment of primary trigeminal neuralgia.Method:48 patients with trigeminal neuralgia in our hospital from January 2010 to January 2013 were selected,and they were randomly divided into two groups,23 patients were treated with micro vascular compression treatment as the experimental group,and 25 patients used radiofrequency treatment as the control group. The therapeutic effects,the occurrence of complications,pain relief,recurrence rate,mortality of the two groups were observed and compared.Result:The patients in the total efficiency of the experimental group was higher than the control group,there was significant difference(P<0.05);pain remission in the experimental group was significantly better than the control group,the difference was statistically significant(P<0.05);the adverse events,relapse and mortality rates of the two groups were compared,there were no significant differences(P>0.05).Conclusion:For patients with trigeminal neuralgia micro vascular decompression surgery can significantly improve the therapeutic effect,reduce patient suffering,and improve the quality of life of patients. Micro vascular decompression surgery for the treatment of Trigeminal neuralgia has very important clinical significance,should be widely applied.
