[1]向晖**,冷景兴,刘如恩.显微血管减压治疗椎基底动脉相关性三叉神经痛[J].中国微创外科杂志,2017,17(10):930-932.
　Xiang Hui,Leng Jingxing,Liu Ruen..Microvascular Decompression Treatment of Vertebrobasilar Related Trigeminal Neuralgia[J].Chinese Journal of Minimally Invasive Surgery,2017,17(10):930-932.
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显微血管减压治疗椎基底动脉相关性三叉神经痛()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年10期
页码:
930-932
栏目:
临床研究
出版日期:
2017-10-20

文章信息/Info

Title:
Microvascular Decompression Treatment of Vertebrobasilar Related Trigeminal Neuralgia
作者:
向晖**; 冷景兴; 刘如恩
江西省人民医院神经外科，南昌330006
Author(s):
Xiang Hui;  Leng Jingxing;  Liu Ruen.
Department of Neurosurgery, People’s Hospital of Jiangxi Provonice, Nanchang 330006, China
关键词:
原发性三叉神经痛; 显微血管减压术; 椎基底动脉; 多点减压
Keywords:
Primary trigeminal neuralgia; Microvascular decompression; Vertebrobasilar; Multi-point decompression
文献标志码:
A
摘要:
目的探讨原发性三叉神经痛显微血管减压（microvascular decompression，MVD）术中对以椎基底动脉为责任血管或主要责任血管的处理方法。方法回顾性分析2008年10月~2016年6月我院28例以椎基底动脉为责任血管或主要责任血管的原发性三叉神经痛患者行MVD的临床资料。行MVD 25例，MVD+感觉根部分离断3例。结果28例术后疼痛均立即消失。3例行MVD+感觉根部分离断者术侧面部麻木。随访3~24个月，平均18.6月，无复发。结论对于以椎基底动脉为责任血管或主要责任血管的原发性三叉神经痛，MVD术中充分神经减压并恢复神经的自然走行是术后疗效的保证，对于张力大、无法一次性推移的血管，可以采用多点减压的方法完成。
Abstract:
ObjectiveTo summarize the microvascular decompression (MVD) surgery of vertebrobasilar blood vessel for primary trigeminal neuralgia patients.MethodsClinical data of 28 primary trigeminal neuralgia patients caused by vertebrobasilar blood vessel from October 2008 to June 2016 in our hospital were retrospectively analyzed. There were 25 patients receving MVD and 3 patients receiving MVD and trigeminal sensory-root partial rhizotomy.ResultsThe neuralgia in all the 28 patients immediately disappeared after surgery. Facial hypesthesia on the operation side occurred in 3 patients receiving MVD and trigeminal sensory-root partial rhizotomy. During follow-ups for 3-24 months (mean, 18.6 months), none of the trigeminal neuralgia relapsed.ConclusionsFor primary trigeminal neuralgia patients caused by vertebrobasilar blood vessel, adequate nerve decompression and restoration of normal nerve anatomy are the guarantee for the efficacy of MVD surgery. For vessels with tensions and can not be passaged by one-time, multi-point decompression can complete the surgery.

参考文献/References:

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[2]Park JM,Koo JS,Kim BK,et al.Vertebrobasilar dolichoectasia as a risk factor for cerebral microbleeds.Eur J Neurol,2013,20(5):824-830.
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[4]陆川,孙军,陈献东.内镜配合显微镜微血管减压治疗三叉神经痛.中国微创外科杂志,2013,13(1):53-55.
[5]Lin CF,Chen HH,Hernesniemi J,et al.An easy adjustable method of ectatic vertebrobasilar artery transposition for microvascular decompression.Clin Neurol Neurosurg,2012,114(7):951-956.
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备注/Memo

备注/Memo:
基金项目：江西省卫生计生委科技计划（20165043）**通讯作者，E-mail：xianghui1991@163.com
更新日期/Last Update: 2018-01-11