摘要
Abstract
Objective To investigate the effectiveness and safety of surgical treatment of glossopharyngeal neuralgia with the methold of selective glossopharyngeal nerve root and vagus nerve root silk rhizotomy by suboccipital retrosigmoid approach. Methods Of 34 patients with glossopharyngeal neuralgia admitted to the Army General Hospital Affiliated Brain Hospital of Bayi primary from April 2010 to June 2015, 12 cases were treated with microvascular decompression (MVD)+glossopharyngeal nerve root rhizotomy (PR), 22 cases were treated with PR+vagus nerve root 1~2 group rhizotomy (VR), and then observe the long-term cure rate, short-term complications and long-term complications. The datas were analyzed with SPSS 19.0 statistical analysis software, long-term curative effect, recent total complications and long-term total complications in two groups of patients were expressed by percentage (%), χ2 test was used to the comparison of the rate of two groups. If P<0.05, the difference was statistically significant. Results 10 cases after operation in group MVD+PR were immediately and without pain, there were still 2 cases of pain and 2 cases of postoperative recurrence, long-term cure rate was 66.7%; 21 cases after operation in group PR+VR were immediately and without pain, 1 case was still pain and no recurrence, long-term cure rate was 95.5%. Long-term cure rate between the two groups had significant difference (χ2=5.130, P<0.05). MVD+PR group:There were a total <br> of 3 cases with recent complications, recent total complication rates were 25.0%, PR+VR group:There were a total of 10 cases with recent complications, recent total complication rates were 45.5%, recent total complication rates between the two groups have no significant difference (χ2=1.376, P>0.05); MVD+PR group left 2 cases of long-term complications, legacy total complication rates were 16.7%, PR+VR group left 5 cases of long-term complications, legacy total complication rates were 22.7%, the legacy total incidence of complications between the two groups have no significant difference (χ2=0.174, P>0.05). Conclusion selective PR+VR was safe, and its curative effect was better than the MVD+PR, PR+VR therapy should be actively choosed in patients with GPN.关键词
舌咽神经痛/舌咽神经切断术/枕下乙状窦后入路Key words
Glossopharyngeal neuralgia/Glossopharyngeal nerve root rhizotomy/Suboccipital retrosigmoid approach
