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为实现更长缓解期对三叉神经痛治疗的再探讨:56例病例系列

Treatment for Trigeminal Neuralgia Revisited for Longer Remission: A Series of 56 Cases.

作者信息

Brar Gursimrat K, Sodhi S P S

机构信息

Department of Oral and Maxillofacial Surgery, Dasmesh Institute of Research and Dental Sciences, Faridkot, Punjab, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S3012-S3014. doi: 10.4103/jpbs.jpbs_191_24. Epub 2024 Jun 8.

DOI:10.4103/jpbs.jpbs_191_24
PMID:39346326
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426856/
Abstract

The primary challenge associated with peripheral neurectomy is the occurrence of spontaneous nerve regeneration. This study focused on addressing this issue by employing a novel approach involving the use of sticky (steaky) bone to obliterate the foramina post-peripheral neurectomy. The study involved 56 patients diagnosed with trigeminal neuralgia, divided into two groups. In group I, the proximal nerve stump in the foramina was chemically cauterized after peripheral neurectomy, while in group II, sticky bone was used to obliterate the foramina. After a 2-year follow-up period, group II exhibited a significant improvement in the mean Visual Analogue Scale scores. Additionally, cone-beam computed tomography analysis revealed a noteworthy reduction in the size of the foramina in group II at 2 years post-operatively.

摘要

与周围神经切除术相关的主要挑战是自发性神经再生的发生。本研究专注于通过采用一种新颖的方法来解决这个问题,该方法涉及使用粘性(steaky)骨来闭塞周围神经切除术后的孔道。该研究纳入了56例被诊断为三叉神经痛的患者,分为两组。在第一组中,周围神经切除术后对孔道内的近端神经残端进行化学烧灼,而在第二组中,使用粘性骨来闭塞孔道。经过2年的随访期,第二组的平均视觉模拟量表评分有显著改善。此外,锥形束计算机断层扫描分析显示,术后2年第二组的孔道大小有明显减小。

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本文引用的文献

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Comparative study using autologous platelet-rich fibrin and titanium prepared platelet-rich fibrin in the treatment of infrabony defects: An and study.使用自体富血小板纤维蛋白和钛制备的富血小板纤维蛋白治疗骨下缺损的对比研究:一项 和 研究。 (原文中“An and study”部分信息不完整)
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Peripheral neurectomy: minimally invasive surgical modality for trigeminal neuralgia in Indian population: a retrospective analysis of 20 cases.周围神经切除术:印度人群三叉神经痛的微创外科治疗方式:20例回顾性分析
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Repetitive peripheral neurectomies for neurolgia of second and third divisions of trigeminal nerve.三叉神经第二和第三分支神经痛的重复性周围神经切除术
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