| 显微血管减压术与伽玛刀治疗老年原发性三叉神经痛近期疗效的对比分析 |
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| 引用本文： | 王宏昭,焦峻峰,马琳,徐德生,刘晓民.显微血管减压术与伽玛刀治疗老年原发性三叉神经痛近期疗效的对比分析[J].中国微侵袭神经外科杂志,2019(7):307-309. |
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| 作者姓名： | 王宏昭 焦峻峰 马琳 徐德生 刘晓民 |
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| 作者单位： | 天津市人民医院神经外科;天津市环湖医院神经外科;天津市环湖医院放射神经外科;天津医科大学第二医院神经外科伽玛刀中心 |
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| 摘 要： | 目的对比采用显微血管减压术(microvascular decompression,MVD)和伽玛刀放射外科(gamma knife radiosurgery,GKRS)治疗老年原发性三叉神经痛(idiopathic trigeminal neuralgia,ITN)病人的近期疗效,分析两种治疗方法在临床应用中的特点。方法回顾性分析63例老年ITN病人的临床资料,其中34例病人行MVD,29例病人行GKRS。采用Mc Gill疼痛评分和BNI疼痛强度分级评估手术前后的疼痛程度。结果 MVD组病人术后1周、1、3、6个月疼痛缓解程度显著高于GKRS组(P <0.05)。MVD组病人术后1个月疼痛缓解率达到94.1%,术后12个月缓解率为88.2%;GKRS组术后疼痛缓解率逐渐升高,术后12个月缓解率达到69.0%。MVD组术后面部麻木3例,脑脊液漏和硬膜下血肿各1例;GKRS组术后面部麻木2例和感觉异常1例;两组并发症发生率无统计学差异(P>0.05)。结论 MVD和GKRS治疗老年ITN病人均安全有效,可根据病人情况积极行MVD治疗,如不耐受或拒绝手术,可选GKRS治疗。
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| 关 键 词： | 三叉神经痛 原发性 老年人 伽玛刀 显微血管减压术 |
Comparative analysis of the short-term efficacy of microvascular decompression and gamma knife in the treatment of eldly patients with idiopathic trigeminal neuralgia |
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| Wang Hongzhao,Jiao Junfeng,Ma Lin,Xu Desheng,Liu Xiaomin.Comparative analysis of the short-term efficacy of microvascular decompression and gamma knife in the treatment of eldly patients with idiopathic trigeminal neuralgia[J].Chinese Journal of Minimally Invasive Neurosurgery,2019(7):307-309. |
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| Authors: | Wang Hongzhao Jiao Junfeng Ma Lin Xu Desheng Liu Xiaomin |
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| Institution: | (Department of Neurosurgery, People's Hospital of Tianjin. Tianjin 300121, China;Department of Neurosurgery, Huanhu Hospital of Tianjin, Tianjin 300350, China;Department of Radioneurosurgery, Huanhu Hospital of Tianjin, Tianjin 300350, China;Gamma Knife Center, Department of Neurosurgery, Second Hospital of Tianjin Medical University, Tianjin 300211, China) |
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| Abstract: | Wang Hongzhao;Jiao Junfeng;Ma Lin;Xu Desheng;Liu Xiaomin(Department of Neurosurgery, People's Hospital of Tianjin. Tianjin 300121, China;Department of Neurosurgery, Huanhu Hospital of Tianjin, Tianjin 300350, China;Department of Radioneurosurgery, Huanhu Hospital of Tianjin, Tianjin 300350, China;Gamma Knife Center, Department of Neurosurgery, Second Hospital of Tianjin Medical University, Tianjin 300211, China) |
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| Keywords: | trigeminal neuralgia idiopathic aged gamma knife microvascular decompression |
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