三叉神经痛合并高血压患者在电生理监测下行微血管减压术疗效的研究
|
摘要
目的探讨三叉神经痛合并高血压患者在电生理监测下行微血管减压术疗效的研究。方法选取本院2014年2月至2017年2月收治的三叉神经痛并高血压患者60例,随机分为研究组和对照组,对照组进行微血管减压术治疗,研究组患者在微血管减压术的基础上再进行电生理监测治疗,并且在治疗后,比较两组患者的治疗效果以及术后发生面瘫、听力下降等不良症状的发生。结果研究组患者治疗有效率明显高于对照组,比较差异有统计学意义(P<0.05),研究组患者术后发生面瘫、听力下降等不良反应率也明显低于对照组,比较差异有统计学意义(P<0.05)。结论对于三叉神经痛并高血压患者,相对于常规微血管减压术,电生理监测下采取微血管减压术治疗效果,不仅治疗效果明显,并且术后的不良反应少,值得在临床上大力推广应用。
引文
[1] Durand A, Penchet G, Thines L. Intraoperative monitoring by imaging and electrophysiological techniques during giant intracranial aneurysm surgery[J]. Neurochirurgie, 2016,62(1):14-19.
[2]向兴刚,李大志,张永辉,等.神经电生理监测在微血管减压术中的应用研究[J].中国微侵袭神经外科杂志,2016,21(9):400-403.
[3] Simioni V, Capone JG, Sette E, et al. 71 Intraoperative blink reflex monitoring during microvascular decompression for trigeminal neuralgia[J]. Clinical Neurophysiology, 2017,128(12):e432.
[4]王焕明,胡飞,杨崇阳.三叉神经痛合并面肌痉挛1例并文献复习[J].立体定向和功能性神经外科杂志,2016(3):190-192.
[5] Zhu J, Zhang X, Zhao H, et al. Utility of Brainstem Trigeminal Evoked Potentials in Patients With Primary Trigeminal Neuralgia Treated by Microvascular Decompression[J]. Journal of Craniofacial Surgery,2017,28(6):e571.
[6]黄涛.岩静脉暂时阻断试验联合神经电生理监测对三叉神经痛微血管减压术的影响[J].神经损伤与功能重建,2017,12(5):453-454.
[7] Jafree DJ, Williams AC, Zakrzewska JM. Impact of pain and postoperative complications on patient-reported outcome measures 5 years after microvascular decompression or partial sensory rhizotomy for trigeminal neuralgia[J]. Acta Neurochirurgica, 2017,160(1):1-10.
[8]雷军荣,张晶,罗杰,等.MVD治疗左侧多颅神经受压并神经源性高血压2例[J].中华神经外科疾病研究杂志,2017,16(5):462-464.
[9]孙洪涛,刁云锋,牛学刚,等.显微血管减压术治疗神经源性高血压38例并文献回顾[J].中华高血压杂志,2017(9):854-859.
[10] Zhao H, Tang Y, Zhang X, et al. Microvascular Decompression for Idiopathic Primary Trigeminal Neuralgia in Patients Over 75 Years of Age[J]. Journal of Craniofacial Surgery, 2016,27(5):1295.
[11]黄锦聪,余惠平,张晋宁,等.老年性原发性三叉神经痛微血管减压术后皮下积液的成因分析及防治策略[J].当代医学,2017,23(30):76-79.
[12] Lei S, Gu X, Guan S, et al. After microvascular decompression to treat trigeminal neuralgia, both immediate pain relief and recurrence rates are higher in patients with arterial compression than with venous compression[J]. Oncotarget, 2017, 8(27):44819-44823.
[13] Simioni V, Capone JG, Sette E, et al. Intraoperative monitoring of sensory part of the trigeminal nerve using blink reflex during microvascular decompression for trigeminal neuralgia[J]. Acta Neurochirurgica, 2018,160(1):165-169.
[14]肖翔.MRI对血管压迫性三叉神经痛责任血管显示的诊断价值分析[J].当代医学,2015,21(20):59-60.
[15] Wu D, Xuan Y, Ruan Y, et al. Prevalence of macroand microvascular complications in patients with type 2 diabetes and kidney disease with or without albuminuria in a single Chinese Diabetes Centre[J].Diabetes&Vascular Disease Research, 2016,13(1):21-30.
[2]向兴刚,李大志,张永辉,等.神经电生理监测在微血管减压术中的应用研究[J].中国微侵袭神经外科杂志,2016,21(9):400-403.
[3] Simioni V, Capone JG, Sette E, et al. 71 Intraoperative blink reflex monitoring during microvascular decompression for trigeminal neuralgia[J]. Clinical Neurophysiology, 2017,128(12):e432.
[4]王焕明,胡飞,杨崇阳.三叉神经痛合并面肌痉挛1例并文献复习[J].立体定向和功能性神经外科杂志,2016(3):190-192.
[5] Zhu J, Zhang X, Zhao H, et al. Utility of Brainstem Trigeminal Evoked Potentials in Patients With Primary Trigeminal Neuralgia Treated by Microvascular Decompression[J]. Journal of Craniofacial Surgery,2017,28(6):e571.
[6]黄涛.岩静脉暂时阻断试验联合神经电生理监测对三叉神经痛微血管减压术的影响[J].神经损伤与功能重建,2017,12(5):453-454.
[7] Jafree DJ, Williams AC, Zakrzewska JM. Impact of pain and postoperative complications on patient-reported outcome measures 5 years after microvascular decompression or partial sensory rhizotomy for trigeminal neuralgia[J]. Acta Neurochirurgica, 2017,160(1):1-10.
[8]雷军荣,张晶,罗杰,等.MVD治疗左侧多颅神经受压并神经源性高血压2例[J].中华神经外科疾病研究杂志,2017,16(5):462-464.
[9]孙洪涛,刁云锋,牛学刚,等.显微血管减压术治疗神经源性高血压38例并文献回顾[J].中华高血压杂志,2017(9):854-859.
[10] Zhao H, Tang Y, Zhang X, et al. Microvascular Decompression for Idiopathic Primary Trigeminal Neuralgia in Patients Over 75 Years of Age[J]. Journal of Craniofacial Surgery, 2016,27(5):1295.
[11]黄锦聪,余惠平,张晋宁,等.老年性原发性三叉神经痛微血管减压术后皮下积液的成因分析及防治策略[J].当代医学,2017,23(30):76-79.
[12] Lei S, Gu X, Guan S, et al. After microvascular decompression to treat trigeminal neuralgia, both immediate pain relief and recurrence rates are higher in patients with arterial compression than with venous compression[J]. Oncotarget, 2017, 8(27):44819-44823.
[13] Simioni V, Capone JG, Sette E, et al. Intraoperative monitoring of sensory part of the trigeminal nerve using blink reflex during microvascular decompression for trigeminal neuralgia[J]. Acta Neurochirurgica, 2018,160(1):165-169.
[14]肖翔.MRI对血管压迫性三叉神经痛责任血管显示的诊断价值分析[J].当代医学,2015,21(20):59-60.
[15] Wu D, Xuan Y, Ruan Y, et al. Prevalence of macroand microvascular complications in patients with type 2 diabetes and kidney disease with or without albuminuria in a single Chinese Diabetes Centre[J].Diabetes&Vascular Disease Research, 2016,13(1):21-30.