对于特发性舌咽神经痛作者主张行经咽法舌咽神经切除术。其术式如下:取仰卧悬垂头位,肩下垫枕,上 Davis 开口器。先行扁桃体摘除术。术后止血不用结扎与缝合,而用盐酸麻黄素液暂时止血,止血后术者站在能直视扁桃体窝外侧壁的位置。舌咽神经垂直走行于扁桃体窝外侧壁的靠后方、在扁桃体门附近,接近于扁桃体窝表面创面。若用咽卷棉子将后腭弓牵向内侧,使扁桃体窝呈水平面展开,就能透过变薄的咽上缩肌见到垂直走行的神经。用剥离子分离神经束。其中枢端位于颅底,末梢端与舌根紧密相连。在用开口器把舌背压向口底后神经恰似绷紧的弓弦一样,与动静脉不同、易于辨认。对于男性肌肉发 For idiopathic glossopharyngeal neuralgia, the authors advocate the pharyngeal glossopharyngeal neurectomy. The surgery is as follows: take supine dangling head, shoulders under the pillow, Davis mouth opener. Tonsillectomy. Postoperative hemostasis without ligation and suture, and ephedrine hydrochloride temporary hemostasis, hemostasis, the surgeon standing side of the lateral wall of the tonsil can stand up. The glossopharyngeal nerve runs vertically to the posterior side of the lateral wall of the tonsil, near the tonsil gate, close to the surface of the tonsil socket. If the pharyngeal swab is used to pull the posterior palatal arch to the medial side and the tonsil fossa is developed horizontally, the nerve running vertically can be seen through the thinning pharyngeal constrictus muscle. Detach the nerve bundles with exfoliation. The hub is located in the base of the skull, the distal end of the tongue is closely linked. In the opening with the back of the tongue pressure to the mouth after the end of the nerve like a taut bowstring, and arteriovenous, easy to identify. For male muscular hair