Microvascular Decompression Surgery for Trigeminal Neuralgia

Microvascular Decompression Surgery for Trigeminal Neuralgia
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DOI:
10.1159/000064619
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发表时间:
2002-10
影响因子:
1.7
通讯作者:
A. Kondo
A. Kondo
中科院分区:
医学4区
文献类型:
--
作者:
A. Kondo

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分析长期随访资料,评价微血管减压术(MVD)的手术效果。在1976年至2000年期间接受MVD的1,324例三叉神经痛(TGN)患者中,连续随访了281例患者,并对其进行了5-20年的研究,截至1997年。对两组数据进行分析比较时,(A:1976-1986,B:1987-1991),术后治愈率由92.9%提高到96.7%,对MVD结果满意率由80.3%提高到82.5%,不完全治愈率由7.1%下降到3.3%,复发率由10.2%下降到6.5%。手术技术的进步可能增加了B组的成功率。
Long-term follow-up data were analyzed to evaluate the surgical results of microvascular decompression (MVD). Among 1,324 patients with trigeminal neuralgia (TGN), who underwent MVD between 1976 and 2000, a consecutive 281 patients were followed and studied for 5–20 years as of the year of 1997. When the data were analyzed and compared in two groups (A: 1976–1986, B: 1987–1991), the postoperative cure rate increased from 92.9 to 96.7%, satisfaction rate with the results of MVD increased from 80.3 to 82.5%, incomplete cure rate decreased from 7.1 to 3.3%, and recurrence rate decreased from 10.2 to 6.5%. Advances in surgical techniques may have increased the success rate in Group B.