Abstract:
Objective：To discuss the effectiveness of a modified peripheral nerve avulsion technique in the management of trigeminal neuralgia. Methods: 35 cases of primary trigeminal neuralgia, using a modified peripheral nerve avulsion technique: accurate positioning, extensive avulsion, a large area of separation, reflux branch break, titanium nail neural hole plugging and postoperative analgesia with incomplete screening processing. Results: In a postoperative observation of 0.5 - 4 years, 3 cases occured recurrence. Conclusion: Modified peripheral nerve avulsion, a improved technique , with low recurrence rate, good curative effect, is worth popularizing.
Key words:
trigeminal neuralgia,
neurotomy,
treatment
摘要： 目的：探讨三叉神经痛周围神经撕脱术的手术方法。方法：对35例原发性三叉神经痛周围支病变的患者，采用周围神经撕脱术的改良术式：准确定位、广泛撕脱、大面积分离、返流支损毁、钛钉神经孔封堵及术后镇痛不全的甄别处理。结果：术后观察 1～4年，复发3例。结论：改进术式复发率低，疗效好，值得推广。
关键词:
三叉神经痛,
神经撕脱术,
治疗
CLC Number:
HUA Yao-she，JIA Huai-bin, ZHAO Jing. A Modified Nerve Avulsion Technique in the Management of Trigeminal Neuralgia[J]. 《Journal of Oral and Maxillofacial Surgery》, 2013, 23(5): 384-386.
华耀社， 贾怀斌， 赵婧. 三叉神经周围支改良撕脱术35例初步报告[J]. 《口腔颌面外科杂志》, 2013, 23(5): 384-386.