不同类型原发性三叉神经痛的手术疗效分析

Chinese Journal of Clinical Neurosurgery(2019)

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Abstract
目的探讨不同类型的责任血管及压迫特点对原发性三叉神经痛手术疗效的影响.方法回顾性分析2002~2012年微血管减压术治疗的212例原发性三叉神经痛的临床资料.根据术中发现责任血管类型分为动脉压迫(155例)、静脉压迫(24例)和混合压迫(33例),根据术中发现责任血管压迫特点分为接触压迫型(123例)和粘连包裹型(89例).结果手术总有效率为95.8%,动脉压迫、静脉压迫和混合压迫有效率分别为98.1%、95.8%和84.8%,接触压迫型和粘连包裹型有效率分别为98.4%和92.1%.结论微血管减压术是治疗原发性三叉神经痛的有效方法,动静脉混合压迫以及术中粘连包裹可能是影响手术疗效的因素.
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Key words
Primary trigeminal neuralgia,Microvascular decompression,Responsible vessels,Curative effect
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