Nerve combing for trigeminal neuralgia without vascular compression
10.3760/cma.j.issn.1671-8925.2018.01.018
- VernacularTitle:神经梳理术治疗非血管压迫型三叉神经痛的临床分析
- Author:
Debao YANG
1
;
Shijun ZHOU
;
Zhimin WANG
Author Information
1. 苏州大学附属第三医院上海交通大学医学院附属苏州九龙医院神经外科
- Keywords:
Trigeminal neuralgia;
Nerve combing;
Microvascular decompression;
Vascular compression
- From:
Chinese Journal of Neuromedicine
2018;17(1):95-98
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of nerve combing for trigeminal neuralgia without neurovascular decompression.Methods A retrospective review of clinical data of 281 patients with trigeminal neuralgia,admitted to our hospital from January 2008 to January 2016,was performed.The patients were divided into two groups:patients from group A were treated by nerve combing (n=32),and patients from group B were treated by microvascular decompression (n=249).The two groups were compared in terms of surgical outcomes and postoperative complications.Results The pain was completely relieved in 90.6％ patients of group A (29/32) and 94.4％ patients of group B (235/249),respectively;the mean follow-up duration was 62.5 months in group A,and 78.1％ patients (25/32) were completely relieved;the mean follow-up duration was 59.8 months in group B,and 84.1％ patients (201/239)were completely relieved;no statistically significant differences existed in the surgical outcomes and long-term outcomes between the two groups (P＞0.05).No complications related to severe disability or death were noted in the two groups.The rate of facial numbness in patients from group A (71.9％) was significant higher than that in group B (2.5％,P＜0.05).Conclusions Nerve combing is a safe and effective treatment for trigeminal neuralgia without neurovascular decompression.Most patients treated with nerve combing experienced some degrees of facial numbness.
