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手术与立体定向放射外科治疗肿瘤相关性三叉神经痛的疗效比较

The efficacy of surgery over stereotactic radiosurgery in the management of tumor-related trigeminal neuralgia.

作者信息

Abouharb Alexander, Rathnayake Hasithe, Mehta Sachit

机构信息

School of Medicine Worsley Building, University of Leeds, Woodhouse, Leeds, LS2 9JT, UK.

GKT School of Medical Education, King's College London, Strand, London, WC2R 2LS, UK.

出版信息

Chin Neurosurg J. 2024 Oct 1;10(1):27. doi: 10.1186/s41016-024-00379-y.

DOI:10.1186/s41016-024-00379-y
PMID:39350245
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11443652/
Abstract

Tumor-related trigeminal neuralgia (TN) is a deeply debilitating condition that severely impacts patient quality of life. Two principal treatment methods in use are open surgical resection of the causative tumor or the use of stereotactic radiosurgery (SRS). In this letter, we aim to evaluate the use of both treatment methods and highlight that in patients with commensurate anatomy, open surgical resection continues to provide greater rates of symptomatic relief, lower rates of recurrence, and complication compared to stereotactic radiosurgery.

摘要

肿瘤相关性三叉神经痛(TN)是一种严重致残的疾病,会严重影响患者的生活质量。目前使用的两种主要治疗方法是对致病肿瘤进行开放性手术切除或使用立体定向放射外科治疗(SRS)。在这封信中,我们旨在评估这两种治疗方法的应用,并强调在解剖结构合适的患者中,与立体定向放射外科治疗相比,开放性手术切除在缓解症状、降低复发率和并发症发生率方面仍具有更高的比率。

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本文引用的文献

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Open surgery vs. stereotactic radiosurgery for tumour-related trigeminal neuralgia: A systematic review.开颅手术与立体定向放射手术治疗肿瘤相关性三叉神经痛的疗效比较:一项系统综述。
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The role of surgical resection in patients with brain metastases.手术切除在脑转移瘤患者中的作用。
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Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition.国际头痛协会(IHS)头痛分类委员会《国际头痛疾病分类》第三版
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Trigeminal neuralgia and neuropathy in large sporadic vestibular schwannomas.大型散发性前庭神经鞘瘤中的三叉神经痛和神经病变。
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Comparison Between Surgical Resection and Stereotactic Radiosurgery in Patients with a Single Brain Metastasis from Non-Small Cell Lung Cancer.非小细胞肺癌单发脑转移患者手术切除与立体定向放射外科治疗的比较
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10
Microsurgical removal of a vestibular schwannoma after stereotactic radiosurgery: surgical and pathologic findings.立体定向放射治疗后前庭神经鞘瘤的显微手术切除:手术及病理结果
Am J Otol. 1999 May;20(3):364-7; discussion 368.