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目的：评价随访１年以上的三叉神经痛显微血管减压患者９１例的远期疗效。方法：随访日本山形大学医学部１９８２～１９９２年间６１例，宁夏医学院１９９１～１９９６年间３０例患者，时间１３～１２６月（平均６０月）。结果：术后早期治愈率为９３．４％，随访得到患者主观满意率８０％，术后疼痛未缓解率是６．６％，复发疼痛率为１５％，术后并发症发生率７．７％。结论：采用显微外科技术重视三叉神经根附近痛因的解除对提高手术远期疗效是重要的。
Objective: To evaluate the long-term efficacy of 91 cases of trigeminal neuralgia with microvascular decompression followed up for more than one year. Methods: Followed up Yamagata University Medical College from 1982 to 1992 61 cases, Ningxia Medical College from 1991 to 1996, 30 patients, time from 13 to 126 months (average 60 months). Results: The early postoperative cure rate was 93.4%. Subjective satisfaction rate was 80%. The rate of postoperative pain unrelieved was 6.6%, the recurrence pain rate was 15%. The postoperative complication rate was 7.7 %. CONCLUSIONS: It is important to emphasize the relief of pain causes near the trigeminal nerve root by using microsurgical techniques in improving the long-term effect of surgery.