三叉神经梳理术治疗无血管压迫型三叉神经痛的临床研究

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【中图分类号】 R651 【文献标志码】 A 【文章编号】 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

三叉神经痛（trigeminalneurolgia，TN）是常见的颅神经疾病，主要表现为患侧三叉神经分布区域阵发性、反复发作的电击样或刀割样剧烈疼痛[1]。（剩余8683字）