CAJ | 학술논문

目的：探讨影响显微血管减压术治疗原发性三叉神经痛临床疗效的相关因素。方法回顾性分析2007年2月至2013年12月柳州市中医院125例原发性三叉神经痛显微血管减压术治疗患者的临床资料及疗效，用χ2检验行单因素分析及logistic多因素回归分析评价影响显微血管减压术治疗原发性三叉神经痛临床疗效的独立危险因素。结果单因素分析显示三叉神经痛类型、术前MRI／MRA是否见有血管压迫、术中是否有责任血管是影响显微血管减压术治疗原发性三叉神经痛临床疗效的相关因素。 Logistic多因素回归分析显示，三叉神经痛类型、术前MRI／MRA未见血管压迫、术中未见有责任血管是影响显微血管减压术治疗原发性三叉神经痛临床疗效的危险因素。结论典型三叉神经痛、术前MRI／MRA示有血管压迫及术中明确有责任血管者，行显微血管减压术的疗效佳。
목적：탐토영향현미혈관감압술치료원발성삼차신경통림상료효적상관인소。방법회고성분석2007년2월지2013년12월류주시중의원125례원발성삼차신경통현미혈관감압술치료환자적림상자료급료효，용χ2검험행단인소분석급logistic다인소회귀분석평개영향현미혈관감압술치료원발성삼차신경통림상료효적독립위험인소。결과단인소분석현시삼차신경통류형、술전MRI／MRA시부견유혈관압박、술중시부유책임혈관시영향현미혈관감압술치료원발성삼차신경통림상료효적상관인소。 Logistic다인소회귀분석현시，삼차신경통류형、술전MRI／MRA미견혈관압박、술중미견유책임혈관시영향현미혈관감압술치료원발성삼차신경통림상료효적위험인소。결론전형삼차신경통、술전MRI／MRA시유혈관압박급술중명학유책임혈관자，행현미혈관감압술적료효가。
Objective To explore the related factors of clinical effect after microvascular decompression ( MVD) for trigeminal neuralgia ( TN) .Methods The clinical data of 125 patients with TN,who underwent MVD from February , 2007 to December , 2013 were analyzed retrospectively .The risk factors about clinical effect after MVD were evaluated by single factor analysis of chi -square test and logistic regression analysis .Results The single factor analysis and logistic regression analysis showed the type of pain ,identification of nerve and vascular in preoperative magnetic resonance image and operation were influence factors about clinical effect .Conclusion Patients with the classical trigeminal neuralgia ( CTN) and explicit neurovascular should have a good outcome after MVD .