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目的探讨微血管减压术治疗原发性三叉神经痛(TN)的手术方法及疗效。方法对142例TN患者行微血管减压术,对临床资料进行回顾性分析。结果术后128例(90%)疼痛消失,9例(6.4%)疼痛明显减轻,手术有效率达96.5%。随访期大于2年的82例患者中,74例疼痛完全消除,5例时有疼痛可药物(卡马西平)控制,3例药物不能有效控制。结论 MVD是治疗TN的有效办法;对责任血管的准确判断及合理处理是微血管减压术成功的关键;良好的显微操作能最大程度降低各种手术并发症。
Objective To investigate the surgical treatment of primary trigeminal neuralgia (TN) with microvascular decompression. Methods 142 cases of TN patients underwent microvascular decompression, the clinical data were retrospectively analyzed. Results 128 cases (90%) of the pain disappeared, 9 cases (6.4%) of the pain was relieved, the operative efficiency was 96.5%. Of the 82 patients with a follow-up of more than 2 years, 74 were completely eliminated, 5 were pain-tolerant (carbamazepine), and 3 were uncontrolled. Conclusion MVD is an effective way to treat TN. Accurate diagnosis and proper treatment of responsible vessels are the key to successful microvascular decompression. Good micromanipulation can minimize various surgical complications.