| 神经性高血压病因及外科治疗的临床分析 |
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| 引用本文： | 刘学宽,赵长地,聂振明,邵启节,种衍军,邵彤,程启龙,段德义,刘国惠,刘国伟.神经性高血压病因及外科治疗的临床分析[J].中国微侵袭神经外科杂志,1997(2). |
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| 作者姓名： | 刘学宽 赵长地 聂振明 邵启节 种衍军 邵彤 程启龙 段德义 刘国惠 刘国伟 |
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| 作者单位： | 山东省济宁市第一人民医院神经外科 济宁272111(刘学宽，赵长地，聂振明，邵启节，种衍军，邵彤，程启龙，段德义)，山东省济宁市第一人民医院口腔科 济宁272111(刘国惠)，济宁市第二人民医院神经外科 济宁272114(刘国伟) |
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| 摘 要： | 目的:探讨神经性高血压的病因及外科治疗方法.方法:对285例神经性高血压,其中伴三叉神经痛者265例.面肌痉挛者13例,舌咽神经痛者7例.采用局麻耳后小切口开颅,行三叉神经、面神经、舌咽神经血管减压术或行三叉神经感觉根部分切断术等,对部分三叉神经痛病人行术前、术后24h尿儿茶酚胺测定.结果:伴高血压者尿儿茶酚胺术后较术前明显下降(P<0.01),术后脑神经症状解除,高血压得以控制,89%的病人血压至今仍正常,其余服药量减少.结论;认为神经性高血压与疼痛刺激和情绪紧张有明显关系.从临床治疗初步观察来看,与左、右侧手术及是否探查延髓左侧、Ⅸ、Ⅹ神经无明显关系.
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| 关 键 词： | 神经性高血压 三叉神经痛 面肌痉挛 舌咽神经痛 神经外科手术 |
Clinical study of the etiology and surgical treatment of neurogenic hypertension |
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| Liu Xuekuan,Zhao Changdi,Liu Guowei et al.Clinical study of the etiology and surgical treatment of neurogenic hypertension[J].Chinese Journal of Minimally Invasive Neurosurgery,1997(2). |
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| Authors: | Liu Xuekuan Zhao Changdi Liu Guowei |
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| Institution: | Liu Xuekuan,Zhao Changdi,Liu Guowei et al Department of Neurosurgery,The First People' s Hospital of Jining |
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| Abstract: | To discuss the etiology and surgical treatment of neurogenic hypertension. Method: Two hundred and eighty five cases of neurogenic hypertension were presented, among the 280 cases, 265 with trigeminal neuralgia, 13 with facial spasm and 7 with glossopharyngeal neuralgia. Microvascular decompression of cranial nerve V , VII ,IX and selective rhizotomy of trigeminal nerve were performed under local anesthesia via a small retroauricular suboccipital craniotomy. 24-hour urine samples for catecholamines were determined , preoperatively and postoperatively in some patients with trigeminal neuralgia. Result: The postoperative catecholamine level was lower than that of preoperative value obviously ( P
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| Keywords: | ncurogenic hypertension trigemi- nal neuralgia facial spasm |
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