| 继发性三叉神经痛12例临床分析 |
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| 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 |
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| 作者姓名： | 马兆鑫 李明 陈旭辉 袁军 |
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| 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 |
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| 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.
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| 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： | 2003-01-22 |
Clinical analyses of 12 cases secondary trigeminal neuralgia |
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| MA Zhaoxin LI Ming CHEN Xuhui YUAN Jun. Clinical analyses of 12 cases secondary trigeminal neuralgia[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2003, 17(7): 402-403,T001 |
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| Authors: | MA Zhaoxin LI Ming CHEN Xuhui YUAN Jun |
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| Affiliation: | MA Zhaoxin 1 LI Ming 1 CHEN Xuhui 1 YUAN Jun 2 |
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| 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. |
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| Keywords: | Trigeminal neuralgia Cholesteatoma Meningoma Cerebellopontine angle |
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