显微镜下微血管减压术对原发性三叉神经痛患者远期疗效及疼痛程度的影响
Impact of Microvascular Decompression Under Microscope on Long-Term Efficacy and Pain Degree of Patients with Pri-mary Trigeminal Neuralgia
陈竹 1马鸿元 1李勇军1
作者信息
- 1. 焦作煤业(集团)有限责任公司中央医院神经外科,河南焦作 454000
- 折叠
摘要
目的 探讨显微镜下微血管减压术对原发性三叉神经痛(PTN)患者远期疗效及疼痛程度的影响.方法 72例PTN患者随机分为两组,参照组接受球囊压迫术治疗,研究组接受显微镜下微血管减压术治疗,比较两组的远期疗效、疼痛程度以及并发症.结果 研究组的远期总有效率为94.44％,明显高于参照组的75.00％(P＜0.05).研究组术后3个月、6个月的VAS评分均明显低于参照组(P＜0.05).研究组的术后并发症总发生率为8.33％,明显低于参照组的27.78％(P＜0.05).结论 显微镜下微血管减压术治疗PTN的远期效果显著,可明显减轻患者的疼痛程度,减少术后并发症的发生.
Abstract
Objective To explore the impact of microvascular decompression under microscope on long-term efficacy and pain degree of patients with primary trigeminal neuralgia(PTN).Methods 72 patients with PTN were randomly divided into two groups.The reference group was treated with balloon compression,and the study group was treated with microvascular decompression under microscope.The long-term efficacy,pain degree and complications were compared between the two groups.Results The long-term total effective rate of the study group was 94.44％,significantly higher than 75.00％of the reference group(P＜0.05).The VAS scores at 3 months and 6 months after surgery of the study group were significantly lower than those of the reference group(P＜0.05).The total incidence of postoperative complications of the study group was 8.33％,significantly lower than 27.78％of the reference group(P＜0.05).Conclusions Microvascular decompression under microscope in the treatment of PTN has significant long-term effect,which can obviously relieve the pain degree of patients,and reduce the occurrence of postoperative complications.
关键词
原发性三叉神经痛/微血管减压术/疼痛程度/远期疗效/并发症Key words
Primary trigeminal neuralgia/Microvascular decompression/Pain degree/Long-term efficacy/Complication引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据