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眶上神经痛的治疗方法颇多,效果均不理想。用普鲁卡闭仅封闭暂时止痛,用无水酒精眶上孔注射,大多数患者,一年后疼痛症状复发。我们对用物药及对症保守治疗无效的患者,采用眶上神经撕脱术,共治疗9例,术后全部止痛,随访半年-4年,未见复发, 手术方法:在患侧眉间,作长约2cm横切口,切开皮肤及皮下组织,分离眼轮匝肌、切开骨膜,用骨膜剥离器,向眶缘方向剥离骨膜。在眶上缘,瞳孔正上方,即可见到眶上孔,及由此孔发出的眶上神经、眶上动脉和眶上静脉。分离神经血管,用钝剥离法,
Supraorbital neuralgia treatment of many, the effect is not satisfactory. Closed with Prussian only temporary pain relief, injection of anhydrous alcohol into the orbital hole, the majority of patients, one year after the recurrence of pain symptoms. We use drugs and symptomatic conservative treatment invalid patients, the use of supraorbital nerve avulsion surgery, a total of 9 cases of postoperative pain relief, follow-up for six months to 4 years, no recurrence, surgical methods: in the affected eyebrows, For about 2cm transverse incision, incision of the skin and subcutaneous tissue, orbicularis oculi muscle, incision periosteal, with periosteal dissection, orbital margin stripping periosteum. In the supraorbital margin, right above the pupil, you can see the supraorbital foramen, and the hole issued by the supraorbital nerve, supraorbital artery and supraorbital vein. Neurovascular separation, with blunt dissection,