| 舌咽神经痛显微神经外科手术治疗的疗效观察 |
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| 引用本文： | 杨建雄,叶志其. 舌咽神经痛显微神经外科手术治疗的疗效观察[J]. 临床医学, 2010, 30(1): 27-28 |
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| 作者姓名： | 杨建雄 叶志其 |
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| 作者单位： | 广东省河源市人民医院神经外科,河源,517000 |
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| 摘 要： | 目的探讨舌咽神经痛(GPN)的多种有效显微神经外科手术方法的临床疗效。方法选择1991年至2007年入住我院的GPN患者21例,11例行迷走神经根上部1~2根丝切断术(R),6例行显微外科减压术(MVD),4例MVD同时行R术,对所有患者进行平均6.5年的随访观察。结果21例患者术后疼痛全部消失;2例术后出现咽部不适、偶发性干咳,其中1例7 d后逐步缓解,1例出现轻度声嘶、吞咽功能障碍,3 d后未见好转。随访全部病例无复发。结论采取何种术式应根据术中有无责任血管压迫及责任血管压迫的方式而定,经随访观察证明,三种显微外科手术均为舌咽神经痛安全有效的治疗方法,值得进一步推广使用。
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| 关 键 词： | 舌咽神经痛 显微血管减压术 |
Effects of microvascular decompression treating glossopharyngeal neuralgia |
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| YANG Jianxiong,YE Zhiqi. Effects of microvascular decompression treating glossopharyngeal neuralgia[J]. Clinical Medicine, 2010, 30(1): 27-28 |
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| Authors: | YANG Jianxiong YE Zhiqi |
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| Affiliation: | YANG Jianxiong,YE Zhiqi.Department of Neurosurgery,Heyuan People's Hospital,Heyuan 517000,China |
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| Abstract: | Objective To investigate the effects of microvascular decompression treating glossopharyngeal neuralgia.Methods Twenty-one patients with glossopharyngeal neuralgia from 1991 to 2007 in our hospital,were treated microsurgically,11 patients were treated with rhizotomy operation,six patients with MVD,and the other four patients were treated by rhizotomy combined MVD,then analyzed the periods of 6.5 years follow-up observation.Results Neuralgia of twenty-noe patients was disappeared after operation,two patients... |
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| Keywords: | Glossopharyngeal neuralgia Microvascular decompression |
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