摘要
目的探讨神经内镜结合锁孔技术在微血管减压术治疗原发性三叉神经痛中的应用。方法回顾性分析65例应用神经内镜结合锁孔微血管减压术治疗的原发性三叉神经痛患者的临床资料、手术资料及随访结果。手术方式为经乳突后锁孔入路,并在垫入隔片前后均置入神经内镜行多角度观察。结果 1例用神经内镜探查时发现并存的责任动脉,11例内镜探查后调整隔片位置。65例患者中术后62例（95.4%）疼痛消失,2例（3.1%）疼痛减轻,总有效率98.5%。治疗有效的64例均获得随访,随访时间8－55个月,平均34个月。术后3年内2例复发,复发率3.1%。结论锁孔技术手术创伤小,能减少术后并发症的发生;应用神经内镜探查能避免遗漏责任血管、协助调整隔片位置,提高手术有效性,降低术后复发率。
Objective To explore the neuroendoscope-assisted microvascular decompression （MVD） by keyhole approach for the idiopathic trigeminal neuralgia （ITN）.Methods The clinical and operation data and follow-up results of 65 patients with ITN underwent neuroendoscope-assisted MVD via keyhole approach were analyzed. Neuroendoscope was used for the exploration via retromastoid keyhole approach before and after the placement of Teflon.Results A coexistent offending artery was found in 1 case and Teflon replacement was performed in 11 cases after the neuroendoscope exploration. Among 65 cases, 62 cases got complete recovery （95.4%） and 2 cases got pain relief （3.1%）, with an effective rate of 98.5%. A total of 64 cases with positive outcome were followed up for 8-55 months （average, 34 months）. Recurrence occurred in 2 cases within 3 years postoperation with a recurrence rate of 3.1%.Conclusion Keyhole approach is minimally invasive and can decrease the complications. Exploration by neuroendoscope can improve the surgical effect and reduce the recurrence by avoid missing of the responsible vessels and assisting the placement of Teflon.
出处
《中华神经外科疾病研究杂志》
CAS
2011年第2期102-104,共3页
Chinese Journal of Neurosurgical Disease Research
关键词
神经内镜
锁孔
微血管减压术
三叉神经痛
Neuroendoscope
Keyhole
Microvascular decompression
Trigeminal neuralgia
