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继发性三叉神经痛12例临床分析
引用本文:马兆鑫,李明,陈旭辉,袁军.继发性三叉神经痛12例临床分析[J].临床耳鼻咽喉头颈外科杂志,2003,17(7):402-403,T001.
作者姓名:马兆鑫  李明  陈旭辉  袁军
作者单位:1. 上海中医药大学岳阳中西医结合医院耳鼻咽喉科,上海,200437
2. 上海中医药大学岳阳中西医结合医院放射科
摘    要:目的:探讨桥小脑角占位性病变引起的继发性三叉神经痛的临床特征。方法:回顾分析了12例继发性三叉神经痛患者的临床资料,MRI检查7例为桥小脑角胆脂瘤所致,5例为桥小脑角脑膜瘤所致;均经乙状窦后进路显微手术切除肿瘤。结果:肿瘤切除术后无并发症发生;12例三叉神经痛全部治愈。随访3~18个月,无复发。结论:MRI检查是诊断继发性三叉神经痛的主要依据;乙状窦后进路显微手术是治疗继发性三叉神经痛的首选方法.

关 键 词:三叉神经痛  胆脂瘤  脑膜瘤  桥小脑角  临床特征
文章编号:1001-1781(2003)07-0402-02
修稿时间:2003年1月22日

Clinical analyses of 12 cases secondary trigeminal neuralgia
MA Zhaoxin,LI Ming,CHEN Xuhui,YUAN Jun.Clinical analyses of 12 cases secondary trigeminal neuralgia[J].Journal of Clinical Otorhinolaryngology,2003,17(7):402-403,T001.
Authors:MA Zhaoxin  LI Ming  CHEN Xuhui  YUAN Jun
Institution:MA Zhaoxin 1 LI Ming 1 CHEN Xuhui 1 YUAN Jun 2
Abstract:Objective:To explore the diagnosis and treatment of secondary trigeminal neuralgia.Method:The clinical data of 12 cases secondary trigeminal neuralgia caused by cerebellopontine angle tumor were studied,including cases of cerebellopontine angle cholesteatoma and 5 cases of cerebellopontine angle meningoma.Result:After the cerebellopontine angle tumor was removed through post sigmoid sinus approach microsurgery, 12 cases of secondary trigeminal neuralgia were cure.Conclusion:MRI examination is chiefly diagnosis evidence of secondary trigeminal neuralgia. Microsurgery through post sigmoid sinus approach is the first modus for treatment of secondary trigeminal neuralgia.
Keywords:Trigeminal neuralgia  Cholesteatoma  Meningoma  Cerebellopontine angle
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