| 改良乙状窦后进路舌咽神经切断术治疗舌咽神经痛 |
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| 引用本文： | 朱习平,陈慧,覃扬达,陆秋天,刘蓓,袁弘.改良乙状窦后进路舌咽神经切断术治疗舌咽神经痛[J].临床耳鼻咽喉头颈外科杂志,2002,16(2):74-75. |
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| 作者姓名： | 朱习平 陈慧 覃扬达 陆秋天 刘蓓 袁弘 |
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| 作者单位： | 广西壮族自治区人民医院耳鼻咽喉科,南宁,530021 |
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| 摘 要： | 目的 :探讨提高手术治疗舌咽神经痛疗效的手术进路。方法 :对 8例本病患者取改良乙状窦后进路 ,进入桥小脑角 ,暴露颈静脉孔 ,在手术显微镜下对颈静脉内孔周围探查 ,并切断舌咽神经 ;如并发三叉神经痛者同时行三叉神经感觉根部分切断。结果 :8例术后舌咽神经痛 (其中 2例并发三叉神经痛 )症状均完全消失 ,无并发症发生。随访 2～ 7年无复发。结论 :舌咽神经痛经改良乙状窦后进路行颈静脉内孔探查 ,并切断舌咽神经根 ,可以获得解除疼痛、永不复发的满意效果
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| 关 键 词： | 舌咽神经痛 改良乙状窦后进路 颈静脉孔 |
| 文章编号： | 1001-1781(2002)02-0074-02 |
| 修稿时间： | 2001年8月22日 |
Glossopharyngeal neuroutomy by improved retrosigmoid approach |
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| ZHU Xiping,CHEN Hui,QIN Yangda,LU Qiutian,LIU Pei,YUAN Hong.Glossopharyngeal neuroutomy by improved retrosigmoid approach[J].Journal of Clinical Otorhinolaryngology,2002,16(2):74-75. |
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| Authors: | ZHU Xiping CHEN Hui QIN Yangda LU Qiutian LIU Pei YUAN Hong |
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| Institution: | ENT Department, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021. |
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| Abstract: | OBJECTIVE: To explore a surgical approach to improve the operation effect of glossopharyngeal neuralgia (GPN). METHOD: In 8 cases with GPN, the improved retrosigmoid approach was adopted to access the cerebellopontine angle for exposing the jugular foramen and its adjacent tissues so as to cut off the glossopharyngeal under microscope. The sensoryrizotomy of trigemlind nerve was also performed if there was a trigeminal neuralgia. RESULT: All the symptom of pain in 8 cases with GPN disappeared after operation with no complication occurred. There was no recurrence following-up for 2 approximately 7 years. CONCLUSION: By improved retrosigmoid approach, it is easy to explore the jugular foramen and cut off the glossopharyngea for treating GDN. |
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| Keywords: | Glossopharyngeal neuralgia Improved retrosigmoid approach Jugular foramen |
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