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时间:2020-06-03
《经皮穿刺球囊压迫半月节治疗微血管减压术后复发性三叉神经痛.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·i仑善·JMedRes,Aug2014,Vo1.43No.8经皮穿刺球囊压迫半月节治疗微血管减压术后复发性三叉神经痛杜垣锋杨定博俞文华王昊朱强杜权摘要目的探讨经皮穿刺球囊压迫半月节治疗微血管减压术后复发性三叉神经痛患者的临床疗效。方法回顾性分析笔者医院神经外科于2009年11月~2012年8月采用经皮穿刺球囊压迫技术治疗的32例微血管减压术后复发性三叉神经痛患者的临床资料及疗效。结果术后3O例患者(93.4%)疼痛完全消失,1例偶疼痛但不需服用药物,1例疼痛服药可控制,整体有效率96.8%;术后进行18~51个月(平均28
2、个月)的随访,3例轻度复发,2例重度复发,效果满意。术后手术同侧面部麻木31例(96.8%),咀嚼肌无力19例(59.3%),面部感觉异常2例(6.25%),无严重手术并发症。结论经皮穿刺球囊压迫术是治疗微血管减压术后复发性三又神经痛的一种安全、有效的手术方法,可作为复发性三叉神经痛一种理想的微创治疗手段。关键词三叉神经痛复发球囊压迫微血管减压[中图分类号]R74[文献标识码]APercutaneousBalloonCompressionofTrigeminalGanglionforRecurrentTrigeminalNe
3、uralgiaafterMicrovascularDecompression.DuYuanfeng,YangDingbo,YuWenhua,eta1.DepartmentofNeurosurgery,TheFirstPeopleSHospitalofHangzhou,NanjingMedicalUniver—sity,Zhejiang310000,ChinaAbstractObjectiveToevaluatetheclinicaleffectsofpercutaneousballooncompressionoftrigem
4、inalganglioninpatientswithre—currenttrigeminalneuralgiaaftermicrovasculardecompression.MethodsTheclinicaldataof32recurrenttrigeminalneuralgiapatientsaftermicrovasculardecompressionwhounderwentpercutaneousballooncompressionfromNovember2009toAugust2012wereretrospec—t
5、ivelyreviewedandanalyzed.ResultsAfterthePBC,30patients(93.4%)experiencedimmediatepainrelief,1patienthadoccasionalpain,andnotrequiredmedication,1patientcouldbeadequatelycontrolledwithmedication,andthetotaleficiencywas96.8%.Withameanlengthoffollow—upofapproximately28
6、months,rangingfrom18monthsto51monthsaftersurgery,3patientshadmildrecur—rence,2patientssufferedsevererecurence.Postoperativecomplicationsincludedcommonsideeffectssuchasfacialnumbnessin31pa—tients(96.8%),massetermuscleweaknessin19patients(59.3%),paresthesiain2patient
7、s(6.25%),noneofthepatientshadserioussurgicalcomplications.ConclusionPercutaneousballooncompressionisaminimallyinvasive,safeandeffectiveprocedurewhichtakesasanattractivechoiceforrecurrenttrigeminalneuralgiaaftermicrovasculardecompression.KeywordsTrigeminalneuralgia;
8、Recurrent;Ballooncompression;Icrovasculardecompression目前微血管减压术(microvasculardecompression,1983年首先报道了经皮穿刺球囊压迫术(percutane.MVD)被公认为是唯一针对原发性三叉神经痛病因OU
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