三叉神經(jīng)梳理術(shù)治療無血管壓迫型三叉神經(jīng)痛的臨床研究

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【中圖分類號(hào)】 R651 【文獻(xiàn)標(biāo)志碼】 A 【文章編號(hào)】 1672-7770（2025）03-0259-04

Abstract： ObjectiveTo explore the clinical characteristics trigeminal neuralgia without vascular deompression and the therapeutic effects trigeminal nerve combing. MethodsA total 455 patients with primary trigeminal neuralgia（TN） underwent microvascular decompression （MVD）in ， Afliated School from January 202O to December 2022 were colected. During surgery，17 patients were confirmed without vascular compression. se patients underwent trigeminal nerve sensory root combing. A retrospective analysis was conducted on the clinical characteristics， surgical efficacy，and complications this group. ResultsAmong 17 patients underwent sensory root combing，13 patients achieved clinical cure，3 experienced pain relief， and 1showed no improvement postoperatively.13 patients developed varying degrees facial numbness，with no other significant complications. average folow-up period was 46.2 months，during which 2 cases experienced pain recurrence.ConclusionsTrigeminal nerve combing is safe and eective for TN without vascular compression，and most patients may experience postoperative facial numbness.

Keywords： trigeminal neuralgis； microvasculardecompression； fending vessels;nerve combing

三叉神經(jīng)痛（trigeminalneurolgia，TN）是常見的顱神經(jīng)疾病，主要表現(xiàn)為患側(cè)三叉神經(jīng)分布區(qū)域陣發(fā)性、反復(fù)發(fā)作的電擊樣或刀割樣劇烈疼痛[1]。（剩余8683字）