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目的:分析老年三叉神经痛患者微血管减压术的治疗效果,评价手术的有效性和安全性。方法:回顾分析1 260例三叉神经痛微血管减压术的临床病例资料,用统计学方法比较老年组和非老年组治疗效果。结果:分别随访3~18个月,老年组325例患者中311例(95.7%)治愈,14例(4.3%)好转,15例(4.6%)复发;非老年组935例患者中891例(95.3%)治愈,40例(4.3%)好转,48例(5%)复发。用统计学方法比较两组治愈率、好转率、复发率方面不具有统计学差异(P>0.05)。结论:老年三叉神经痛微血管减压术是安全有效的。
Objective: To analyze the therapeutic effect of microvascular decompression in elderly patients with trigeminal neuralgia and to evaluate the effectiveness and safety of surgery. Methods: A retrospective analysis of 1 260 cases of trigeminal neuralgia microvascular decompression clinical cases, using statistical methods to compare the treatment of elderly and non-elderly group. Results: All cases were followed up for 3 to 18 months. Of the 325 elderly patients, 311 (95.7%) were cured, 14 (4.3%) were improved, and 15 (4.6%) were relapsed. Among 935 non-elderly patients, 891 95.3%) cured, 40 cases (4.3%) improved and 48 cases (5%) relapsed. There was no statistical difference between the two groups in the cure rate, improvement rate and recurrence rate by statistical methods (P> 0.05). Conclusion: The elderly trigeminal neuralgia microvascular decompression is safe and effective.