摘要
摘要目的总结分析原发性舌咽神经痛的临床表现及显微手术方法,选择最佳治疗手段.方法回顾性分析我院(攀枝花市中心医院)采用微血管减压术(Microvasculardecompression,MVD)及神经根切断术(rhizotomy,RZT)治疗１２例原发性舌咽神经痛患者的临床症状及手术疗效.结果１２例患者中行MVD者８例,RZT者４例,手术后１１例患者疼痛均消失,随访１年无复发,１例疼痛减轻,８例MVD患者术后仅出现短暂性眩晕,４例RZT患者术后３例出现暂时性眩晕,声音嘶哑、饮水呛咳,３个月内恢复,１例咽喉部不适及阵发性干咳.结论MVD是治疗原发性舌咽神经痛的可靠方法,并发症少,效果肯定;行RZT术后易出现短暂性后组颅神经受损症状.关键词锁孔;舌咽神经痛;血管减压术;神经根切断术;UnderthekeyholemicroscopicnervesurgicaltreatmentofprimaryglossopharyngealnervepainclinicalanalysisWuKe,WeiJianbo,YanKekun,TangShujunAbstractObjectiveToSummaryanalysisofglossopharyngealnervepain(glossopharyngealneuralgia,GPN)ofclinicalmanifestationandmicrosurgerymethod,choosethebesttreatment??MethodsAnalyzedfromsex(panzhihua??Centralhospital)withMicrovasculardecompression(Microvasculardecompression,MVD)andrhizotomy(rhiＧzotomy,RZT)inthetreatmentof１２casesofpatientswithidiopathicglossopharyngealnervepainclinicalsymptomandsurgicalcurativeeffect??ResultMVD８cases,１２paＧtientsbocRZT４cases,thepainof１１casesweredisappearedafterthesurgery,follow－upof１yearwithoutrecurrence,１caseofpainrelief,８patientswithMVDafteronlyabriefvertigo,４casesofRZTtemporarily３casespostoperativelyinpatientswithvertigo,voicehoarse,waterchokingcough,restoredwithin３months,１caseofthroatdisＧcomfortandparoxysmalcough??ConclusionsMicrovasculardecompression(MVD)isareliablemethodintreatmentofidiopathicglossopharyngealnervepain,fewercomplicaＧtions,Kefefyecwto;rdLsineRZTwithtransientgroupaftercranialnervedamagesymptoms??Lockhole;Idiopathicglossopharyngealnervepain;Vasculardecompression;Rhizotomy??中图分类号R７４５文献标识码A文章编号１００８－６３１５(２０１５)１２－０８９２－０１
出版日期
2015年12月22日（中国期刊网平台首次上网日期，不代表论文的发表时间）
