Dahle L, von Essen C, Kourtopoulos H, Ridderheim P A, Vavruch L
Department of Neurosurgery, University Hospitals of Linköping, Sweden.
Acta Neurochir (Wien). 1989;99(3-4):109-12. doi: 10.1007/BF01402317.
An analysis of 57 patients with trigeminal neuralgia (TN) treated with microvascular decompression (MVD) is presented. Mean follow-up time was 3.1 years. Vascular compression of the trigeminal nerve root was noted in 54 cases. In the remaining 3 patients, adhesions were observed in two, whereas no obvious cause was found in one case. Among the patients with vascular compression, 43 (80%) became painfree immediately after surgery, and have remained so during the observation period. There was an indisputable relationship between the degree of observed vascular compression of the nerve and long-term complete pain relief. There was no mortality in association with the surgery. Major morbidity was seen in 3.6%, and partial facial sensory loss was seen in seven patients (12%). The implications of these findings are discussed.
本文对57例接受微血管减压术（MVD）治疗的三叉神经痛（TN）患者进行了分析。平均随访时间为3.1年。54例患者发现三叉神经根存在血管压迫。其余3例患者中，2例观察到粘连，1例未发现明显病因。在血管压迫患者中，43例（80%）术后立即疼痛消失，且在观察期内一直保持无痛。观察到的神经血管压迫程度与长期完全缓解疼痛之间存在明确关系。手术无相关死亡病例。严重并发症发生率为3.6%，7例患者（12%）出现部分面部感觉丧失。讨论了这些发现的意义。
