[摘要] 目的:探讨显微血管减压术治疗三叉神经痛的疗效。方法:回顾性分析45例三叉神经痛患者的显微血管减压术的临床资料。结果:45例患者经过显微血管减压术治疗后,疼痛症状完全消失40例,明显缓解3例,无缓解2例;术前、术后疼痛视觉模拟(VAS)评分分别为(7.82±1.52)分和(0.68±1.42)分;术后并发症少。结论:显微血管减压术治疗三叉神经痛可以保留三叉神经功能,是首选的手术治疗方法。

    [关键词] 三叉神经痛;微血管减压术;椎动脉

    [中图分类号] R745.1+1 [文献标识码]B[文章编号]1673-7210(2010)06(b)-156-02

    Clinical research on microsurgical treatment of trigeminal neuralgia

    LI Manqiang, ZHU Chunlei, HUANG Xiuyun, YUAN Lijuan

    (Department of Neurosurgery, Changping Hospital of Dongguan City, Dongguan 523573, China)

    [Abstract] Objective: To investigate the efficacy of microvascular decompression for trigeminal neuralgia. Methods: The clinical data of 45 cases of trigeminal neuralgia patients with microvascular decompression were retrospectively analyzed. Results: The patients with microvascular decompression after treatment, pain disappeared completely in 40 cases, symptoms remitted obviously in 3 cases and 2 cases showed no relief; the VAS scores of preoperative and postoperative were (7.82±1.52) scores and (0.68±1.42) scores; the postoperative complication was less. Conclusion: Microvascular decompression for trigeminal neuralgia can save trigeminal nerve function, it is the preferred method of surgical treatment. ......