摘要
目的 探讨微血管减压术治疗三叉神经痛的临床疗效及相关影响因素.方法 回顾性分析40例三叉神经痛患者的临床资料,对每例三叉神经痛患者均采用微血管减压术进行治疗,统计分析微血管减压术疗法下三叉神经痛患者的临床效果.并采取χ^2检验进行单因素分析与Logistic多因素回归性分析法对影响微血管减压术治疗三叉神经痛临床效果的影响因素进行探究.结果 治疗后,39例患者得到有效治疗,临床总有效率达97.5%;1例患者改善效果不明显.39例有效治疗患者中35例患者经微血管减压术治疗后完全缓解,4例三叉神经痛患者得到明显改善.同时,单因素影响分析发现,三叉神经痛类型、术中有无责任血管以及手术前核磁共振检查未发现血管压迫是影响三叉神经痛治疗效果的关键因素.结论 术中有无责任血管及术前核磁共振检查未发现血管压迫是影响三叉神经痛治疗效果的重要因素,微血管减压术治疗效果明显.
Objective To investigate the clinical efficacy and related factors of microvascular decompression in the treatment of trigeminal neuralgia. Methods The clinical data of 40 patients with trigeminal neuralgia were analyzed retrospectively. Patients with trigeminal neuralgia were treated by microvascular decompression,and the clinical efficacy of microvascular decompression in patients with trigeminal neuralgia was analyzed statistically. The related factors on effect of microvascular decompression for trigeminal neuralgia were analyzed with Chi-square test and Logistic multivariate regression. Results After treatment,there were 39 patients with effective treatment,the total effective rate was up to 97.5%,and one case was no significant improvement. Of the 39 cases,35 cases were complete remission,four cases were significantly improved. At the same time,the single factor analysis showed that the type of trigeminal neuralgia,the operation of the blood vessels in the operation and the preoperative magnetic resonance examination did not find the vascular compression were the key factors affecting the effect of trigeminal neuralgia. Conclusions There is no evidence of vascular compression in the operation of the vessel and the preoperative magnetic resonance imaging,which is an important factor affecting the therapeutic effect of trigeminal neuralgia.
出处
《中国实用医刊》
2017年第7期33-35,共3页
Chinese Journal of Practical Medicine
关键词
三叉神经痛
微血管减压术
影响因素
Trigeminal neuralgia
Microvascular decompression
Related factors
