微血管减压与射频消去在三神经疼痛的上和下部分的微血管减压对比
Hosam-Eldin Abdel-Azim Habib1, Mohamed Hamdy Ellakany2, Hossam Elnoamany1
1Neurosurgery Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt.
Asian journal of neurosurgery
|July 8, 2024
概括
微血管减压 (MVD) 和射频 (RF) 切除为三角神经疼痛 (TN) 提供了有效的手术选择,影响下巴. 两种手术的成功率相似,MVD通常是长期结果的首选.
科学领域:
- 神经外科 神经外科
- 疼痛管理 疼痛管理
背景情况:
- 三角神经疼痛 (TN) 的医疗治疗是主要的.
- 没有对药物的反应的患者是除性或非除性手术的候选人.
- 对于耐火病例来说,TN管理需要有效的外科干预.
研究的目的:
- 为了比较微血管减压 (MVD) 和射频 (RF) 热凝结结果.
- 评估TN治疗影响下和部划分的疗效.
- 为了确定特定的TN呈现的最佳外科手术方法.
主要方法:
- 追溯分析40名患有难治的古典性TN的患者.
- 20名患者接受了三神经的MVD.
- 20名患者接受了三神经部分的射频切除.
主要成果:
- MVD取得了80%的成功率;射频切除取得了85%的成功率.
- MVD的故障率为20%,RF的故障率为15%.
- 结果在两组之间没有显著差异 (p=0.806).
结论:
- MVD和RF切除是安全有效的手术治疗TN涉及下和大部的部分.
- 由于有利的长期结果,MVD通常是首选的初级手术技术.
- 患者的健康状况和特定需求应指导MVD和RF消化之间的选择.
相关概念视频
Blood and Nerve Supply to the Bones
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Aortic Regurgitation III: Medical Management
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...


