Lovely T J, Jannetta P J
Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pennsylvania, USA.
Neurosurg Clin N Am. 1997 Jan;8(1):11-29.
In summary, it can be concluded that MVD has a long-term success rate equal or superior to percutaneous procedures without the higher rate of permanent neurologic sequelae. It is a safe operation with an almost negligible mortality and low morbidity in skilled hands. If the goal in the treatment of TGN remains obtaining a pain-free state without the need for medication and no permanent neurologic deficit, then MVD remains the definitive procedure of choice for typical TGN.
总之，可以得出结论：微血管减压术（MVD）具有与经皮手术相当或更高的长期成功率，且永久性神经后遗症发生率更低。在技术熟练的医生手中，这是一种安全的手术，死亡率几乎可以忽略不计，发病率也很低。如果治疗三叉神经痛（TGN）的目标仍然是在无需药物治疗且无永久性神经功能缺损的情况下实现无痛状态，那么微血管减压术仍然是典型三叉神经痛的首选确定性手术。
