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目的探讨原发性三叉神经痛病因及显微血管减压治疗。方法回顾性分析显微血管减压术治疗的60例原发性三叉神经痛病例资料。结果术后疼痛完全缓解58例(96.7%),明显缓解、对症处理能够控制满意者2例。出现术侧耳鸣2例,面瘫2例,脑脊液漏1例。随访3~48个月,无复发病例。结论三叉神经入脑干区受血管压迫是原发性三叉神经痛的常见病因。显微血管减压术是有效的治疗方法。充分认识责任血管,术中注重手术技巧,是提高手术安全性和减少并发症的关键措施。
Objective To investigate the causes of primary trigeminal neuralgia and microvascular decompression. Methods A retrospective analysis of microvascular decompression in the treatment of 60 cases of primary trigeminal neuralgia data. Results Postoperative pain completely relieved 58 cases (96.7%), significantly relieved, symptomatic treatment can be controlled in 2 cases. There were 2 cases of lateral tinnitus, facial paralysis in 2 cases, 1 case of cerebrospinal fluid leakage. Follow-up 3 ~ 48 months, no recurrence. Conclusion Trigeminal nerve into the brainstem area by vascular compression is a common cause of primary trigeminal neuralgia. Microvascular decompression is an effective treatment. Fully understand the responsibility of blood vessels, intraoperative attention to surgical skills, is to improve surgical safety and reduce complications of the key measures.