Toda Hiroki, Goto Masanori, Iwasaki Koichi
Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital.
Neurol Med Chir (Tokyo). 2015;55(5):432-41. doi: 10.2176/nmc.ra.2014-0393. Epub 2015 Apr 28.
Microvascular decompression (MVD) is a highly effective surgical treatment for trigeminal neuralgia (TN). Although there is little prospective clinical evidence, accumulated observational studies have demonstrated the benefits of MVD for refractory TN. In the current surgical practice of MVD for TN, there have been recognized patterns and variations in surgical anatomy and various decompression techniques. Here we provide a stepwise description of surgical procedures and relevant anatomical characteristics, as well as procedural options.
微血管减压术（MVD）是治疗三叉神经痛（TN）的一种高效外科手术。尽管前瞻性临床证据较少，但累积的观察性研究已证明MVD对难治性TN的益处。在当前TN的MVD外科手术实践中，手术解剖结构和各种减压技术存在公认的模式和差异。在此，我们逐步描述手术步骤、相关解剖特征以及手术选择。
