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頁籤選單縮合
題名 | Partial Sensory Rhizotomy as an Alternative Treatment of Trigeminal Neuralgia=以部份感覺神經切除術治療三叉神經痛 |
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作者姓名(中文) | 洪純隆; 張迪生; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 14:8 1998.08[民87.08] |
頁次 | 頁492-497 |
分類號 | 416.29 |
關鍵詞 | 部份感覺神經切除術; 三叉神經痛; Partial sensory rhizotomy; Trigeminal neuralgia; |
語文 | 英文(English) |
中文摘要 | 對於內科治療無效,在後顱窩開顱術中,發現有明顯的血管壓迫三叉神經痛患者 ,顯微血管減壓術是公認的術式;然而,對於復發性病例,或是在術中,無明顯血管壓迫的 病例;則宜採取部份神經切除術。本篇報告八例符合上述條件的病例;二例為復發性病例, 六例為無明顯血管壓迫的病例,所有病例接受部份神經切除術或者加上顯微血管減壓術,術 後患者在門診接受感覺喪失範圍的檢查。其中五例術後效果良好,二例可以藥物控制,一例 結果欠佳;平均追蹤期間為 58 個月,感覺喪失的範圍和預期神經切除的區域相符,觸覺喪 失的範圍較感覺喪失的範圍為小。總之,對於復發性病例以及無血管壓迫病例,部份神經切 除術可為另一有效之治療方法。 |
英文摘要 | Microvascular decompression is a well established technique in the treatment of medically refractory trigeminal neuralgia when a significant vascular contact is identified during posterior fossa exploration. However, in patients with recurrent trigeminal neuralgia after this type of surgery or if no significant vascular indentation is found during surgery, a partial sensory rhizotomy is often the preferred alternative mode of treatment. For eight such patients, partial sensory trigeminal rhizotomy was performed with the involved distribution. Two patients were cases of previous failure, while the other six cases showed a lack of vascular indentation during operation. All the patient underwent microvascular decompression in addition to partial sensory trigeminal rhizotomy with dissector disruption. Sensory examination was performed during the outpatient department follow-up. In these eight such patients, five had excellent results, two continued to have mild pain that was well controlled with carbamazepine, and one had poor results. The mean follow-up period was 58 months. Our study indicates that sensory loss is compatible with the extent of nerve section and that touch loss is less evidence than sensory loss. Partial sensory trigeminal rhizotomy is recommended as the alternative treatment strategy of choice for patients with trigeminal neuralgia who lack significant vascular contact during operation. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。