CAJ | 학술논문

目的：探讨分析微血管减压术治疗三叉神经痛的临床疗效。方法资料回顾性分析2010年6月-2013年6月该院诊治的三叉神经痛患者80例，按照治疗方案分成两组，对照组40例患者予常规手术治疗，研究组40例患者给予改良式微血管减压术治疗，比较两组患者治疗有效性及复发率，有效性指标﹑并发症发生率及VAS﹑BNI评分情况。结果研究组复发2(5.00%)例比对照组9(22.50%)例少，并发症总发生率20.00%(8/40)比对照组40.00%(16/40)低，差异有统计学意义(P<0.05)；治疗后两组VAS﹑BNI评分情况均较治疗前有明显改善，差异有统计学意义(P<0.01)。结论微血管减压术治疗三叉神经痛的临床疗效显著，具有临床实际应用价值。
목적：탐토분석미혈관감압술치료삼차신경통적림상료효。방법자료회고성분석2010년6월-2013년6월해원진치적삼차신경통환자80례，안조치료방안분성량조，대조조40례환자여상규수술치료，연구조40례환자급여개량식미혈관감압술치료，비교량조환자치료유효성급복발솔，유효성지표﹑병발증발생솔급VAS﹑BNI평분정황。결과연구조복발2(5.00%)례비대조조9(22.50%)례소，병발증총발생솔20.00%(8/40)비대조조40.00%(16/40)저，차이유통계학의의(P<0.05)；치료후량조VAS﹑BNI평분정황균교치료전유명현개선，차이유통계학의의(P<0.01)。결론미혈관감압술치료삼차신경통적림상료효현저，구유림상실제응용개치。
Objective To analyze the clinical efficacy of microvascular decompression in the treatment of trigeminal neuralgia. Methods The data of 80 cases with trigeminal neuralgia diagnosed and treated in our hospital from June 2010 to June 2013 were analyzed retrospectively. And the patients were divided into two groups according to the treatment scheme. 40 cases in the control group were treated by the conventional surgery, and 40 cases in the study group were treated by modified microvascular decom-pression. The efficacy, relapse rate, indicators of effectiveness, incidence of complications, VAS, BNI score were compared between the two groups. Results In the study group, the disease relapsed in 2 cases (5.00%), less than 9 cases (22.50%) in the control group, the total incidence of complications in the study group was 20.00% (8/40), lower than 40.00% (16/40) of the control group, the differences were statistically significant (P<0.05). After treatment, the VAS, BNI score of both groups improved obviously as compared with those before treatment with statistical significance (P<0.01). Conclusion The clinical efficacy of microvascular de-compression for trigeminal neuralgia is significant with clinically practical application value.