中国医药导刊
中國醫藥導刊
중국의약도간
Chinese Journal of Medical Guide
2015年
9期
891-892
,共2页
三叉神经痛%乙状窦后径路%内窥镜%责任血管
三扠神經痛%乙狀竇後徑路%內窺鏡%責任血管
삼차신경통%을상두후경로%내규경%책임혈관
Trigeminal neuralgia%Retrosigmoid pathways%Endoscopy
目的:探讨内窥镜下行乙状窦后径路手术治疗三叉神经痛(TN)的临床疗效.方法:选取31例原发性TN患者作为研究对象,均在内窥镜下行乙状窦后径路三叉神经部分切断术,观察手术疗效.结果:术后有20例(64.52%)面部感觉功能减退.术后1周的三叉神经各支支配区域的面部感觉功能评分均较术前明显降低,P<0.05.手术治愈29例、好转1例、无效1例,总有效率为96.77%.结论:在内窥镜下行乙状窦后径路手术治疗TN能有效改善临床症状,且神经损伤小,术后并发症发生率低.
目的:探討內窺鏡下行乙狀竇後徑路手術治療三扠神經痛(TN)的臨床療效.方法:選取31例原髮性TN患者作為研究對象,均在內窺鏡下行乙狀竇後徑路三扠神經部分切斷術,觀察手術療效.結果:術後有20例(64.52%)麵部感覺功能減退.術後1週的三扠神經各支支配區域的麵部感覺功能評分均較術前明顯降低,P<0.05.手術治愈29例、好轉1例、無效1例,總有效率為96.77%.結論:在內窺鏡下行乙狀竇後徑路手術治療TN能有效改善臨床癥狀,且神經損傷小,術後併髮癥髮生率低.
목적:탐토내규경하행을상두후경로수술치료삼차신경통(TN)적림상료효.방법:선취31례원발성TN환자작위연구대상,균재내규경하행을상두후경로삼차신경부분절단술,관찰수술료효.결과:술후유20례(64.52%)면부감각공능감퇴.술후1주적삼차신경각지지배구역적면부감각공능평분균교술전명현강저,P<0.05.수술치유29례、호전1례、무효1례,총유효솔위96.77%.결론:재내규경하행을상두후경로수술치료TN능유효개선림상증상,차신경손상소,술후병발증발생솔저.
Objective: To evaluate the clinical efficacy of surgical treatment of trigeminal pathway downstream after endoscopic sigmoid sinus.Methods:31 cases of primary trigeminal neuralgia patients as research subjects, both in the endoscopic sigmoid sinus pathways downstream portion of the trigeminal nerve transection, observe surgery.Results:Postoperative 20 cases (64.52%) facial sensory dysfunction. One week after the facial trigeminal nerve branch dominated region feeling each function scores compared with before surgery significantly reduced,P<0.05. Surgery cured 29 cases, improved in 1 case, 1 case; the total effective rate was 96.77%. Conclusion:After endoscopic sinus pathways downstream sigmoid surgical treatment of trigeminal neuralgia can improve clinical symptoms, and small nerve injury, postoperative complication rate.
