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        211396 Long-term efficacy of microvascular decompression on trigeminal neuralgia and multi-factor research of recurrence

        2011-08-15 00:54:32ChongYanjun種衍軍DeptNeurosurgJining1stPeopHospShandongJining272011ChinNeurosurg201127549553
        外科研究與新技術 2011年3期

        /Chong Yanjun(種衍軍,Dept Neurosurg,Jining 1st Peop Hosp,Shandong Jining 272011)…∥Chin J Neurosurg.-2011,27(5).-549~553

        ObjectiveTo research the factors that affects the efficacy of 2 826 cases of of trigeminal neuralgia after microvascular decompression during follow-up more than 1 year.MethodsThe patients with trigeminal meuralgia were followed-up for 1-25 years(mean 9.8 years)after microvascular decompression from January 1984 to January 2009.ResultsThe long-term cure rate was 86.8%,markedly effective rate was 4.5%,efficiency was 2.0%,inefficiency was 1.6%.Pain recurrence rate was 5.1%,remaining complication rate was 7.0%,subjective satisfaction equal to or greater than 80%accounted for 85.2%,satisfaction less than 80%accounted for 14.8%.ConclusionThe patients with short course,typical symptoms,the main compression on artery and the implementation of effective decompression,which mostly contributes to a good results after operation.On contrast,the efficacy on those who with the main compression on vein and innominate artery,long course and atypical symptoms is often unsatisfactoy.15 refs.

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