中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
28期
53-55
,共3页
三叉神经痛%高龄老人%微血管减压术
三扠神經痛%高齡老人%微血管減壓術
삼차신경통%고령노인%미혈관감압술
Trigeminal neuralgia%Older people%Microvescular depression
目的 探讨高龄老人原发性三叉神经痛的特点及治疗策略. 方法 整群选取苏州九龙医院神经外科自2006年3月—2014年6月收治的20例高龄老人患者临床特点进行回观性分析,并且采取相应的治疗策略,术中全部患者分离粘连蛛网膜,行微血管减压术联合感觉根部分切断术进行治疗15例,仅进行微血管减压术5例. 结果 术后症状完全消失者15例, 5例明显减轻. 术后面部麻木5例,伤口局部皮下积液2例,伤口脑脊液漏1例,肺部感染1例,小脑肿胀1例,听力下降者1例,病毒性疱疹4例. 予以相关治疗后好转. 随访5~36个月,无复发病例,面部麻木患者生活不受影响. 结论 应用三叉神经微血管减压术联合感觉根部分切断术方案,充分分离蛛网膜粘连,三叉神经入脑干连接处(REZ区)充分减压,对改善患者预后起到决定性作用.
目的 探討高齡老人原髮性三扠神經痛的特點及治療策略. 方法 整群選取囌州九龍醫院神經外科自2006年3月—2014年6月收治的20例高齡老人患者臨床特點進行迴觀性分析,併且採取相應的治療策略,術中全部患者分離粘連蛛網膜,行微血管減壓術聯閤感覺根部分切斷術進行治療15例,僅進行微血管減壓術5例. 結果 術後癥狀完全消失者15例, 5例明顯減輕. 術後麵部痳木5例,傷口跼部皮下積液2例,傷口腦脊液漏1例,肺部感染1例,小腦腫脹1例,聽力下降者1例,病毒性皰疹4例. 予以相關治療後好轉. 隨訪5~36箇月,無複髮病例,麵部痳木患者生活不受影響. 結論 應用三扠神經微血管減壓術聯閤感覺根部分切斷術方案,充分分離蛛網膜粘連,三扠神經入腦榦連接處(REZ區)充分減壓,對改善患者預後起到決定性作用.
목적 탐토고령노인원발성삼차신경통적특점급치료책략. 방법 정군선취소주구룡의원신경외과자2006년3월—2014년6월수치적20례고령노인환자림상특점진행회관성분석,병차채취상응적치료책략,술중전부환자분리점련주망막,행미혈관감압술연합감각근부분절단술진행치료15례,부진행미혈관감압술5례. 결과 술후증상완전소실자15례, 5례명현감경. 술후면부마목5례,상구국부피하적액2례,상구뇌척액루1례,폐부감염1례,소뇌종창1례,은력하강자1례,병독성포진4례. 여이상관치료후호전. 수방5~36개월,무복발병례,면부마목환자생활불수영향. 결론 응용삼차신경미혈관감압술연합감각근부분절단술방안,충분분리주망막점련,삼차신경입뇌간련접처(REZ구)충분감압,대개선환자예후기도결정성작용.
Objective To explore the characteristics and treatment strategy of idiopathic trigeminal neuralgia in older people. Methods The clinical characteristics of idiopathic trigeminal neuralgia in 20 older people admitted in Department of Neurosurgery, Suzhou Kowloon Hospital from March 2006 to June 2014 were observed and corresponding treatment strategy was given to the pa-tients. The adhesion in arachnoid was separated in all the patients during surgery. 15 cases underwent microvascular decompres-sion combined with sensory root partial amputation, only 5 cases underwent microvascular decompression. Results After surgery, the symptoms disappeared completely in 15 cases, markedly alleviated in 5 cases. After surgery, 5 cases had facial numbness, 2 cases had wound subcutaneous effusion, 1 case had wound cerebrospinal fluid leakage, 1 case had pulmonary infection, 1 case had cerebellar swelling, 1 case had hearing loss, 4 cases had viral herpes. All the patients improved after corresponding treatment. All the patients were followed up for 5 months to 36 months, and the result showed that no recurrent cases, and the life of patients with facial numbness is not affected. Conclusion Application of microvascular decompression combined with sensory root partial amputation, fully separated arachnoid adhesion, REZ full decompression, are the key to improving the prognosis of patients.
