摘要
目的探讨改良微骨孔完全显微血管减压术治疗三叉神经痛的临床疗效及并发症。方法将本院收治124例三叉神经痛患者随机分为改良手术组和常规手术组,改良手术组患者给予微骨孔完全显微血管减压,常规手术组患者给予传统的显微血管减压术治疗。记录2组患者手术时间、住院天数,并比较2组患者有效率、并发症发生率,随访观察2组患者的复发情况。结果 2组有效率比较差异无统计学意义(P>0.05),改良手术组手术时间、住院天数、并发症发生率、复发率均显著低于常规手术组(P<0.05)。结论采用微骨孔完全显微血管减压治疗三叉神经痛疗效确切,且能够减少手术及住院时间、降低术后并发症发生率,值得临床推广应用。
Objective To investigate the clinical efficacy and complications of the modified keyhole complete microvascular decompression in the treatment of trigeminal neuralgia. Methods Totally 124 cases of trigeminal neuralgia patients in our hos- pital were randomly divided into the modified surgery group and conventional surgery group. The modified surgery group was treated with keyhole complete microvascular decompression,while the conventional surgery group was treated with traditional microvascular decompression treatment. The operative time, hospitalization days of the two groups were recorded, and the clini- cal efficiency and the incidence of complications of two groups were compared. Relapse of patients of two groups were observed during follow-up. Results There was no significant difference in the efficiency between the two groups（P〉0.05）. Operative time, hospitalization days, incidence of complications, relapse rate of the modified surgery group were significantly lower than the conventional surgery group （P〈0. 05）. Conclusion The keyhole complete microvascular decompression has an exact efficacy for trigeminal neuralgia and can significantly reduce surgical, hospitalization time and the incidence of postoperative complica- tions, which is worthy of clinical application.
出处
《中国实用神经疾病杂志》
2013年第8期11-13,共3页
Chinese Journal of Practical Nervous Diseases
关键词
显微血管减压术
三叉神经痛
微骨孔
Mierovascular decompression
Trigeminal neuralgia
Keyhole
