神经内镜联合显微镜微血管减压术治疗原发性三叉神经痛的疗效观察#br#

doi:10.13418/j.issn.1001-165x.2024.2.16

中国临床解剖学杂志 ›› 2024, Vol. 42 ›› Issue (2): 208-212.doi: 10.13418/j.issn.1001-165x.2024.2.16

神经内镜联合显微镜微血管减压术治疗原发性三叉神经痛的疗效观察#br#

沈江江¹，刘志红¹，刘宝辉²*

1. 湖北省武穴市第一人民医院，湖北武穴 435400； 2. 武汉大学人民医院，湖北武汉 430060

收稿日期:2023-06-14 出版日期:2024-03-25 发布日期:2024-04-23
作者简介:沈江江（1990-），男，江西湖口人，主治医师，硕士研究生，从事功能神经外科疾病研究，E-mail: 1258622897@qq.com
基金资助:
国家自然科学基金资助项目（81502175）

Clinical observation of primary trigeminal neuralgia treated by neuroendoscopy combined with microvascular decompression under microscope

Shen Jiangjiang ¹, Liu Zhihong¹, Liu Baohui ²*

1. Department of Neurosurgery, Wuxue No.1 People's Hospital, Wuxue 435400, Hubei Province, China; 2. Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China

Received:2023-06-14 Online:2024-03-25 Published:2024-04-23

摘要/Abstract

摘要： 目的探讨神经内镜联合显微镜行微血管减压术治疗原发性三叉神经痛的临床疗效。方法回顾分析78例行微血管减压术治疗的原发性三叉神经痛患者资料，其中常规显微镜组( A 组) 36 例，神经内镜联合显微镜微血管减压术( B 组)42例，分析比较两组术中责任血管发现率、手术并发症及术后疗效。结果 B 组责任血管发现率( 95.2% ) 明显高于 A 组责任血管发现率 ( 80.6% ) 、治愈率（97.6%）高于A组（83.3%），两者差异均有统计学意义( P<0.05) ；术后并发症 B 组( 14.3% ) 比 A 组( 30.6% ) 无明显差异（P>0.05）。结论神经内镜联合显微镜微血管减压术治疗三叉神经痛有助于避免责任血管遗漏，提高责任血管发现率和手术治愈率。

关键词: 原发性三叉神经痛, , , 微血管减压术, , , 神经内镜, , , 显微镜

Abstract: Objective To evaluate the clinical effect of primary trigeminal neuralgia treatment by neuroendoscopy combined with microvascular decompression under microscope. Methods A retrospective analysis was made on 78 patients with primary trigeminal neuralgia treated by microvascular decompression, with 36 cases were treated by microvascular decompression under microscope (group A), and the other 42 cases were treated under neuroendoscopy combined with microscope (group B).The discovery rate of offending vessels, complications rate, and therapeutic efficacy were compared in the two groups after treatment. Results The discovery rate of offending vessels in the group B (95.2%) was significantly higher than that of the group A (80.6%); The total effective rate of the group B (97.6%) was higher than that of the group A (83.3%). There were statistical differences in the discovery rate of offending vessels and total effective rate in the two groups (P<0.05). There was no statistical difference in the postoperative complications between group A (30.6%) and group B (14.3%) (P>0.05). Conclusions The treatment of primary trigeminal neuralgia with neuroendoscopy combined with microvascular decompression microscope is of high clinical application value to improve the discovery rate of offending vessels and cure rate.

Key words: Primary trigeminal neuragia, , , , Microvascular decompression, , , Neuroendoscopy, , Microscope

中图分类号:

R745.11

沈江江, 刘志红, 刘宝辉. 神经内镜联合显微镜微血管减压术治疗原发性三叉神经痛的疗效观察#br#[J]. 中国临床解剖学杂志, 2024, 42(2): 208-212.

Shen Jiangjiang, Liu Zhihong, Liu Baohui. Clinical observation of primary trigeminal neuralgia treated by neuroendoscopy combined with microvascular decompression under microscope [J]. Chinese Journal of Clinical Anatomy, 2024, 42(2): 208-212.

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神经内镜联合显微镜微血管减压术治疗原发性三叉神经痛的疗效观察#br#

Clinical observation of primary trigeminal neuralgia treated by neuroendoscopy combined with microvascular decompression under microscope

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