| 半月神经节射频治疗复发型三叉神经痛的显微外科治疗 |
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| 引用本文： | 王岩,王振海,王晓松,孙基栋,陈国强,左焕琮.半月神经节射频治疗复发型三叉神经痛的显微外科治疗[J].科技导报(北京),2009,27(18):98-100. |
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| 作者姓名： | 王岩 王振海 王晓松 孙基栋 陈国强 左焕琮 |
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| 作者单位： | 王岩,王晓松,孙基栋,陈国强,左焕琮(清华大学玉泉医院神经外科,北京,100049);王振海(邢台市人民医院神经外一科,河北,邢台,054031) |
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| 摘 要： | 探讨了三叉神经痛半月神经节射频热凝术后复发病例三叉神经根部的变化和手术方式.回顾玉泉医院神经外科从2004年10月至2007年12月间行显微血管减压术和三叉神经感觉根选择性切断术治疗的152例三叉神经痛患者,对其中11例曾行半月神经节射频热凝术治疗过的患者术中观测三叉神经根部的变化,并对其手术方式及疗效进行分析.11例射频复发病例中,5例行盛觉根选择切断术,4例行微血管减压术+感觉根选择切断术,1例行单纯微血管减压术,1例行桥小脑角胆脂瘤全切除+感觉根选择性切断术.镜下解剖观察发现.三叉神经感觉根有周径变细的变化.再次开颅手术的在院有效率为100%.长期随访治愈率为80%.结果显示,射频治疗的无效和复发.与首次治疗时间、毁损的靶点及程度相关.半月节射频毁损术可改变三叉神经根的解剖结构,在选择切断时应予以注意.三叉神经微血管减压术对于射频治疗无效复发的病例也有良好的疗效.
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| 关 键 词： | 半月神经节射频治疗 三叉神经痛 显微血管减压术 |
Microsurgery of the Recurrent Trigeminal Neuralgia after Gasserian Ganglion Radiofrequency Therapy |
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| WANG Yan,WANG Zhenhai,WANG Xiaosong,SUN Jidong,CHEN Guoqiang,ZUO Huancong . Neurosurgery.Microsurgery of the Recurrent Trigeminal Neuralgia after Gasserian Ganglion Radiofrequency Therapy[J].Science & Technology Review,2009,27(18):98-100. |
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| Authors: | WANG Yan WANG Zhenhai WANG Xiaosong SUN Jidong CHEN Guoqiang ZUO Huancong Neurosurgery |
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| Institution: | WANG Yan1,WANG Zhenhai2,WANG Xiaosong1,SUN Jidong1,CHEN Guoqiang1,ZUO Huancong1 1. Neurosurgery Department,Yuquan Hospital,Tsinghua University,Beijing 100049,China 2. The First Neurosurgery Department,Xingtai Renmin Hospital,Xingtai 054031,Hebei Province,China |
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| Abstract: | The Microvascular Decompression (MVD) of the recurrent trigeminal neuralgia treated with the Gasserian ganglion Radiofrequency Therapy (RT) is studied in this paper. 11 recurrent cases from 152 MVD operations of trigeminal neuralgia from Oct. 2004 to Dec. 2007 are analyzed. Among the 11 cases, there are 5 Partial Rhizotomy (PR) of trigeminal sensory root, 4 MVD plus PR, 1 MVD and 1 cholesteatoma ectomy plus PR. Under microscope, the circumference of trigeminal root is changed compared with the normal. The i... |
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| Keywords: | gasserian ganglion radiofrequency therapy trigeminal neuralgia microvascular decompression operation |
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