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目的探讨改良术式治疗三叉神经单纯下颌痛的临床效果,并讨论改良的特点和原因。方法对28例原发性三叉神经单纯下颌痛行下牙槽神经、颊神经高位撕脱并颏神经段截撕脱术,观察疗效。结果近期有效率达100%,术后随访6个月~3年,除2例发生转支痛外,其余均未见疼痛复发,实现有效至短期治愈。结论该改良术式治疗原发性三叉神经单纯下颌痛,具有安全、经济、损伤小、治愈率高等优点,是一种临床上值得推广的有效方法。
Objective To investigate the clinical effect of modified surgical treatment of simple mandibular pain in the trigeminal nerve and to discuss the characteristics and causes of the improvement. Methods Twenty-eight patients with primary trigeminal nerve simple mandibular pain underwent alveolar nerve, high avulsion of the buccal nerve and dissection of the chin nerve segment. The curative effect was observed. The results of the recent efficiency of 100%, followed up for 6 months to 3 years, with the exception of two cases of fulminant pain, the rest were no recurrence of pain, to achieve effective to short-term cure. Conclusion The modified surgical treatment of primary trigeminal nerve pain alone has the advantages of safety, economy, less damage and higher cure rate. It is an effective and clinically worthy method to promote.