CAJ | 학술논문

目的：探讨微血管减压术治疗颅神经根疾病三叉神经痛、面肌痉挛、舌咽神经痛手术方法、特点。方法分析152例颅神经疾病患者，包括原发性三叉神经痛81例，面肌痉挛69例，舌咽神经痛2例的手术方法及并发症。结果原发性三叉神经痛手术有效率为91.36%；面肌痉挛手术效率为89.86%；舌咽神经痛2例，术后均取得满意效果。结论微血管减压手术是有效的，但风险大，良好的手术策略对于提高手术疗效具有重要意义。
목적：탐토미혈관감압술치료로신경근질병삼차신경통、면기경련、설인신경통수술방법、특점。방법분석152례로신경질병환자，포괄원발성삼차신경통81례，면기경련69례，설인신경통2례적수술방법급병발증。결과원발성삼차신경통수술유효솔위91.36%；면기경련수술효솔위89.86%；설인신경통2례，술후균취득만의효과。결론미혈관감압수술시유효적，단풍험대，량호적수술책략대우제고수술료효구유중요의의。
Objective To investigate surgery methods and features of microvacular decompression in treating cranial nerve root diseases as prosopalgia, prosopospasm, and glossopharyngeal neuralgia. Methods Surgery methods and complications of 152 patients with cranial nerve root diseases were analyzed. Among them, there were 81 cases with primary prosopalgia, 69 cases with prosopospasm, and 2 cases with glossopharyngeal neuralgia. Results The surgery effective rate for primary prosopalgia was 91.36%, and 89.86%for prosopospasm. The 2 cases with glossopharyngeal neuralgia gained satisfactory effect after surgery. Conclusion Microvacular decompression is effective but with high risk, therefore, it is important to have a well-planned surgery strategy for improving curative effect.