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血管减压术后三叉神经痛复发的再手术治疗
引用本文:孙志庭,李萍,赵永宏,米修奎. 血管减压术后三叉神经痛复发的再手术治疗[J]. 临床耳鼻咽喉头颈外科杂志, 1998, 12(12): 558-560
作者姓名:孙志庭  李萍  赵永宏  米修奎
作者单位:湖北襄樊,解放军第477医院耳鼻咽喉科,441003
摘    要:为探讨三叉神经痛复发的原因及治疗,对12例显微血管减压术后复发的三叉神经痛患者进行了再手术。术中发现10例三叉神经根部有血管袢再压迫,2例无血管压迫。经再次神经血管减压术或神经松解术治疗后疼痛消失,术后追踪观察6个月 ̄4年无复发。对显微血管减压术后三叉神经痛复发的原因及再手术的有关问题进行讨论。

关 键 词:显微血管减压术 三叉神经痛 神经松解

Repeat operations for recurrent trigeminal neuralgia after microvascular decompression
Sun Zhiting Li Ping Zhao Yonghong et al. Repeat operations for recurrent trigeminal neuralgia after microvascular decompression[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 1998, 12(12): 558-560
Authors:Sun Zhiting Li Ping Zhao Yonghong et al
Affiliation:Department of Otolaryngology, No 477 Hospital of PLA, Xiangfan 441003.
Abstract:For the study of cause and treatment of recurrent trigeminal neuralgia,repeat ope rations were performed in 12 patients with recurrent trigeminal neuralgia after microvascular decompression.Among repeat operations,there was vascular loop recompression at trigeminal root in 10 patients,negative exploration in 2 patients.The pain relief was achieved after neurovascular redecompression or neurolysis in all patients.The patients had no recurrent pain during a follow up from 6 months to 4 years.The causes of recurrent trigeminal neuralgia after microvascular decompression and the questions related to repeat operations were discussed.
Keywords:Microvascular decompression Trigeminal neuralgia Neurolysis
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