原发性三叉神经痛的诊断与治疗进展

被引:33
作者
张琼
卢思言
苗重昌
机构
[1] 徐州医科大学附属连云港医院影像科
关键词
原发性三叉神经痛; 显微血管减压术; 射频神经根切断术;
D O I
10.13798/j.issn.1009-153X.2020.06.025
中图分类号
R745.11 [];
学科分类号
摘要
<正>原发性三叉神经痛(primary trigeminal neuralgia,PTN)是三叉神经一个或多个分支分布区域的突然发生的、针刺样疼痛,多见于40岁以上的女性,右侧多于左侧[1]。目前,PTN的诊断主要靠临床表现和影像学检查。PTN有多种治疗方法,其中显微血管减压术(microsurgical decompression,MVD)效果确切[2],是目前最常用的手术方法之一。本文就PTN的诊断及治疗进展作一综述。1 PTN的病因学关于PTN的病因学,有不同的学说和观点,包括三叉神经根部周围病变(压迫或牵引)和脑干、基底
引用
收藏
页码:411 / 413
页数:3
相关论文
共 10 条
[1]
Early Stereotactic Radiosurgery for Medically Refractory Trigeminal Neuralgia.[J].Cheng-Chia Lee;Ching-Jen Chen;Shin Tai Chong;Sheng-Che Hung;Huai-Che Yang;Chung Jung Lin;Chih-Chun Wu;Wen-Yuh Chung;Wan-Yuo Guo;David Hung-Chi Pan;Hsiu-Mei Wu;Ching-Po Lin.World Neurosurgery.2018,
[2]
Trigeminal neuralgia.[J].Yad Yadav;Yadav Nishtha;Pande Sonjjay;Parihar Vijay;Ratre Shailendra;Khare Yatin.Asian Journal of Neurosurgery.2017, 4
[3]
Nerve atrophy in trigeminal neuralgia due to neurovascular compression and its association with surgical outcomes after microvascular decompression [J].
Cheng, Jian ;
Meng, Jinli ;
Liu, Wenke ;
Zhang, Heng ;
Hui, Xuhui ;
Lei, Ding .
ACTA NEUROCHIRURGICA, 2017, 159 (09) :1699-1705
[4]
Microvascular Decompression for Idiopathic Primary Trigeminal Neuralgia in Patients Over 75 Years of Age.[J].Hua Zhao;Yinda Tang;Xin Zhang;Shiting Li.Journal of Craniofacial Surgery.2016,
[5]
Early radiosurgery provides superior pain relief for trigeminal neuralgia patients [J].
Mousavi, Seyed H. ;
Niranjan, Ajay ;
Huang, Marshall J. ;
Laghari, Fahad J. ;
Shin, Samuel S. ;
Mindlin, Josh L. ;
Flickinger, John C. ;
Lunsford, L. Dade .
NEUROLOGY, 2015, 85 (24) :2159-2165
[6]
Neurovascular Study of the Trigeminal Nerve at 3 T MRI [J].
Docampo, Jorge ;
Gonzalez, Nadia ;
Munoz, Alexandra ;
Bravo, Fernando ;
Sarroca, Daniel ;
Morales, Carlos .
NEURORADIOLOGY JOURNAL, 2015, 28 (01) :28-35
[7]
Effect of radiation dose on the outcomes of gamma knife treatment for trigeminal neuralgia: A multi-factor analysis [J].
Zhang, Xinjie ;
Li, Peng ;
Zhang, Shizhen ;
Gong, Feilong ;
Yang, Sen ;
Wang, Wei .
NEUROLOGY INDIA, 2014, 62 (04) :400-405
[8]
3D CT-Guided Pulsed Radiofrequency Treatment for Trigeminal Neuralgia [J].
Luo Fang ;
Shen Ying ;
Wang Tao ;
Meng Lan ;
Yu Xiaotong ;
Ji Nan .
PAIN PRACTICE, 2014, 14 (01) :16-21
[9]
面肌痉挛微血管减压术后听力障碍的影响因素 [J].
关锋 ;
赵卫国 ;
濮春华 ;
杨文磊 ;
李宁 .
中国临床神经外科杂志, 2019, 24 (06) :330-332
[10]
微血管减压术治疗原发性三叉神经痛预后影响因素分析 [J].
刘厚强 ;
孟庆明 ;
叶成坤 ;
丁允波 ;
王臻 ;
徐强 ;
李祥 .
中华神经医学杂志, 2018, 17 (04)