CAJ | 학술논문

目的：探讨三叉神经痛老年患者实施微血管减压术的方法及临床疗效。方法：回顾性分析2010年6月-2014年6月在我院接受治疗的三叉神经痛老年患者50例，作为观察组，均采用微血管减压术进行治疗，并选择同期在我院接受治疗的65岁以下的三叉神经痛患者50例作为对照组进行分析。比较两组的临床疗效及并发症发生率。结果：两组均成功完成手术，观察组术后疼痛缓解率略低于对照组，无显著差异（P＞0.05），无统计学意义。观察组不良反应发生率明显高于对照组，差异有统计学意义（P＜0.05）。结论：对老年性三叉神经痛患者进行临床治疗时，在对围手术期进行有效处理的基础上采用微血管减压术进行治疗，效果比较好，可以降低并发症发生率。
목적：탐토삼차신경통노년환자실시미혈관감압술적방법급림상료효。방법：회고성분석2010년6월-2014년6월재아원접수치료적삼차신경통노년환자50례，작위관찰조，균채용미혈관감압술진행치료，병선택동기재아원접수치료적65세이하적삼차신경통환자50례작위대조조진행분석。비교량조적림상료효급병발증발생솔。결과：량조균성공완성수술，관찰조술후동통완해솔략저우대조조，무현저차이（P＞0.05），무통계학의의。관찰조불량반응발생솔명현고우대조조，차이유통계학의의（P＜0.05）。결론：대노년성삼차신경통환자진행림상치료시，재대위수술기진행유효처리적기출상채용미혈관감압술진행치료，효과비교호，가이강저병발증발생솔。
ObjectiveTo investigate the method and clinical effect of microvascular decompression for trigeminal neuralgia in the elderly patients.Methods A retrospective analysis of 50 patients with trigeminal neuralgia in elderly patients in 2010 June -2014 year in June in our hospital for treatment of patients as the observation group, using microvascular decompression for treatment, and select the same period in our hospital for treatment of trigeminal neuralgia patients under 65 years old in 50 cases as control group were analyzed. The clinical efficacy and incidence of complications were compared between the two groups.Results The two groups were successfully completed the operation, the patients in the observation group pain relief rate was slightly lower than that of the control group, no significant difference (P > 0.05), no statistically significant, comparable. The adverse reaction rate of observation group was significantly higher than that of the control group, the difference was statistically significant (P < 0.05). ConclusionThe clinical treatment of trigeminal neuralgia in elderly patients, based on the effective management of the perioperative use of microvascular decompression for treatment, the effect is better, can reduce the incidence of complications.