Comparison of different microsurgery methods for
trigeminal neuralgia
Zihang
Xie;Lin
Chen
;Yan
Wang;Zhiqiang
Wang;Qiang
Ao;Yuqi
Cui;Shijie
Zhang;Huancong Zuo
【期刊名称】《临床转化神经医学(英文)》 【年(卷),期】2016(002)003
【摘要】Objective: To study the influence of different microsurgical methods on surgical outcomes and complications, and to improve the surgical outcomes for trigeminal neuralgia. Methods: The clinical data of 109 patients with trigeminal neuralgia, who were treated with microsurgery, were analyzed retrospectively. All patients were divided into 3 groups according to surgical modality: the trigeminal neuralgia decompression group (TND group, 19 patients), the TND and rhizotomy group (rhizotomy group, 55 patients), and the TND and selective lesioning group (lesioning group, 35 patients). The mid-term and short-term effects of microsurgery, and the occurrences of com-plications, were compared between the 3 groups. Results: There were no statistical differences in the frequency of complications between the 3 groups (P > 0.05). Eighty-four patients were followed up for 6 to 33 months. The rate of pain disappearance was found to be 94.4% in the TND group, and 100% in both the rhizotomy and lesioning groups; thus, no significant differences were found between these 3 groups (P > 0.05).