CAJ | 학술논문

目的探讨显微血管减压术治疗三叉神经痛术后复发的因素和再手术治疗方法.方法对苏州九龙医院神经外科自2006年1月至2011年12月收治的21例显微血管减压术后复发患者行手术治疗,术中辅助性应用神经内镜,17例行显微血管减压术,2例行单纯蛛网膜松解术,1例行三叉神经感觉根部分切断术,1例行显微血管减压术加三叉神经感觉根部分切断术. 结果 21例患者平均随访28.5月,随访再手术有效率为95.2％,术后面部麻木2例,轻度面瘫1例. 结论显微血管减压术后复发原因是多样的,血管压迫仍是主要病因；再手术仍应首选显微血管减压术,神经内镜辅助可提高手术疗效及安全性.
목적 탐토현미혈관감압술치료삼차신경통술후복발적인소화재수술치료방법.방법 대소주구룡의원신경외과자2006년1월지2011년12월수치적21례현미혈관감압술후복발환자행수술치료,술중보조성응용신경내경,17례행현미혈관감압술,2례행단순주망막송해술,1례행삼차신경감각근부분절단술,1례행현미혈관감압술가삼차신경감각근부분절단술. 결과 21례환자평균수방28.5월,수방재수술유효솔위95.2％,술후면부마목2례,경도면탄1례. 결론 현미혈관감압술후복발원인시다양적,혈관압박잉시주요병인；재수술잉응수선현미혈관감압술,신경내경보조가제고수술료효급안전성.
Objective To study the influencing factors of recurrence of trigeminal neuralgia after microvascular decompression and its microsurgical management.Methods Twenty one patients with recurrent trigeminal neuralgia after microvascular decompression (MVD),admitted to our hospital from 2006 to 2011,were treated by microsurgical operations assisted by neuroendoscope.MVD was performed again in 17 patients,arachnoid membranes reflaxation in 2,partial rhizotomy (PR) in 1,and both MVD and PR in 1.Results All patients were followed up for about 28.5 months (mean duration).The total effective rate during the follow-up period was 95.2％.Facial numbness was found in 2 patients and light facial paralysis in 1.Conclusion Many factors were responsible for the recurrence of trigeminal neuralgia after MVD; and vascular compression is still the main cause; MVD should be the first choice; curative effect and safety would be improved by the assistance ofneuroendoscope.