解放军医学杂志2011，Vol.36Issue(3)：277-278,2.
锁孔乙状窦后入路显微血管减压术治疗原发性三叉神经痛(附23例报告)
Keyhole craniotomy through retrosigmoid approach followed by microvascular decompression for primary trigeminal neuralgia: a report of 23 cases
程钢戈 1马宏伟 1董连强 1张晖 1黄永安 1张宝国 1武琛1
作者信息
摘要
Abstract
Objective To explore the surgical technique, effects, and complications of kevhole craniotomy through retrosigmoid approach followed by microvascular decompression for primary trigeminal neuralgia. Methods The craniotomy with a kevhole incision above postauricular hairline followed by microvascular decompression was performed in 23 patients with primary trigeminal neuralgia.Dissection of intracranial part of trigeminal nerve under microscope was done to search for the offending vessels, which were thereby freed and between which and the root entrv zone (REZ) of trigeminal nerve the Teflon grafts were placed. Effects and complications were observed in follow-up, ranging from 1 month to 2 years. Results Out of 23 patients who were all found compression in REZ of trigeminal nerves by the offending vessels in operation, disappearance of symptoms post-surgery was found in 22 cases , face numbness on the surgical side in 3 cases and no effects in 1 case. Recurrence of pain was not observed in patients who had initially benefited from the surgery at the follow-up. Conclusion The keyhole craniotomy through retrosigmoid approach followed by microvascular decompression is safe and effective for primary trigeminal neuralgia, in which accurate technique during operation plays a vital role in the decrease of complications and the outcome post-surgery.关键词
三叉神经痛/显微血管减压术/责任血管/神经外科手术分类
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程钢戈,马宏伟,董连强,张晖,黄永安,张宝国,武琛..锁孔乙状窦后入路显微血管减压术治疗原发性三叉神经痛(附23例报告)[J].解放军医学杂志,2011,36(3):277-278,2.
