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目的分析和评价伽玛刀治疗原发性三叉神经痛的疗效。方法回顾性分析对本院治疗的68例原发性三叉神经痛病人的病例资料。本组病人治疗时采用MRI定位,以患侧三叉神经根为靶点,选用4 mm准直器治疗,中心剂量为70~90 Gy伽玛刀治疗。结果随访4~100个月,疼痛完全缓解50例,疼痛大部分缓解18例,疼痛部分缓解9例,疼痛无缓解2例,其中3例疼痛完全缓解后复发,2例再次经伽玛刀治疗后疼痛完全缓解。1例发生患侧面部麻木。结论伽玛刀治疗原发性三叉神经痛,创伤小、并发症少、疗效好,复发后再次行伽玛刀治疗疼痛仍可缓解。
Objective To analyze and evaluate the efficacy of gamma knife in the treatment of primary trigeminal neuralgia. Methods A retrospective analysis of 68 cases of primary trigeminal neuralgia treated in our hospital case data. This group of patients treated with MRI positioning to the affected side of the trigeminal nerve root as the target, the choice of 4 mm collimator, the center dose of 70 ~ 90 Gy gamma knife treatment. Results The patients were followed up for 4 to 100 months. Fifty patients were completely relieved of pain, 18 were relieved of pain, 9 were partially relieved of pain, 2 were relieved of pain, 3 were completely relieved of pain and 2 were again treated by gamma knife After the pain completely relieved. 1 case of ipsilateral facial numbness. Conclusion Gamma knife treatment of primary trigeminal neuralgia, trauma, fewer complications, good effect, re-recurrence of gamma knife treatment of pain can be relieved.