PDF(Pubmed)
Abstract：
UNASSIGNED: The treatment landscape for trigeminal neuralgia (TN) involves various surgical interventions, among which microvascular decompression (MVD) stands out as highly effective. While MVD offers significant benefits, its success relies on precise surgical techniques and patient selection. In addition, the emergence of awake surgery techniques presents new opportunities to improve outcomes and minimize complications associated with MVD for TN.
UNASSIGNED: A thorough review of the literature was conducted to explore the effectiveness and challenges of MVD for TN, as well as the impact of awake surgery on its outcomes. PubMed and Medline databases were searched from inception to March 2024 using specific keywords \"Awake Neurosurgery,\" \"Microvascular Decompression,\" AND \"Trigeminal Neuralgia.\" Studies reporting original research on human subjects or preclinical investigations were included in the study.
UNASSIGNED: This review highlighted that MVD emerges as a highly effective treatment for TN, offering long-term pain relief with relatively low rates of recurrence and complications. Awake surgery techniques, including awake craniotomy, have revolutionized the approach to MVD, providing benefits such as reduced postoperative monitoring, shorter hospital stays, and improved neurological outcomes. Furthermore, awake MVD procedures offer opportunities for precise mapping and preservation of critical brain functions, enhancing surgical precision and patient outcomes.
UNASSIGNED: The integration of awake surgery techniques, particularly awake MVD, represents a significant advancement in the treatment of TN. Future research should focus on refining awake surgery techniques and exploring new approaches to optimize outcomes in MVD for TN.
UNASSIGNED: A thorough review of the literature was conducted to explore the effectiveness and challenges of MVD for TN, as well as the impact of awake surgery on its outcomes. PubMed and Medline databases were searched from inception to March 2024 using specific keywords \"Awake Neurosurgery,\" \"Microvascular Decompression,\" AND \"Trigeminal Neuralgia.\" Studies reporting original research on human subjects or preclinical investigations were included in the study.
UNASSIGNED: This review highlighted that MVD emerges as a highly effective treatment for TN, offering long-term pain relief with relatively low rates of recurrence and complications. Awake surgery techniques, including awake craniotomy, have revolutionized the approach to MVD, providing benefits such as reduced postoperative monitoring, shorter hospital stays, and improved neurological outcomes. Furthermore, awake MVD procedures offer opportunities for precise mapping and preservation of critical brain functions, enhancing surgical precision and patient outcomes.
UNASSIGNED: The integration of awake surgery techniques, particularly awake MVD, represents a significant advancement in the treatment of TN. Future research should focus on refining awake surgery techniques and exploring new approaches to optimize outcomes in MVD for TN.
摘要：
■三叉神经痛（TN）的治疗前景涉及各种手术干预，其中微血管减压术（MVD）非常有效。虽然MVD提供了显著的好处，它的成功依赖于精确的手术技术和患者选择。此外,清醒手术技术的出现为改善TN的预后和减少与MVD相关的并发症提供了新的机会.
■对文献进行了彻底的回顾，以探讨TN的MVD的有效性和挑战，以及清醒手术对其结果的影响。PubMed和Medline数据库从开始到2024年3月使用特定关键字“清醒神经外科，\"\"微血管减压术,“和”三叉神经痛。“报告对人类受试者的原始研究或临床前调查的研究包括在研究中。
■这篇综述强调，MVD作为一种非常有效的TN治疗方法，提供长期疼痛缓解，复发率和并发症发生率相对较低。清醒手术技术，包括清醒的开颅手术,彻底改变了MVD的方法，提供的好处，如减少术后监测，缩短住院时间,和改善神经系统的结果。此外，清醒的MVD程序提供了精确映射和保存关键大脑功能的机会，提高手术精度和患者预后。
■清醒手术技术的整合，特别是清醒的MVD，代表了TN治疗的显著进步。未来的研究应集中在完善清醒手术技术上，并探索新的方法来优化TN的MVD结果。
■对文献进行了彻底的回顾，以探讨TN的MVD的有效性和挑战，以及清醒手术对其结果的影响。PubMed和Medline数据库从开始到2024年3月使用特定关键字“清醒神经外科，\"\"微血管减压术,“和”三叉神经痛。“报告对人类受试者的原始研究或临床前调查的研究包括在研究中。
■这篇综述强调，MVD作为一种非常有效的TN治疗方法，提供长期疼痛缓解，复发率和并发症发生率相对较低。清醒手术技术，包括清醒的开颅手术,彻底改变了MVD的方法，提供的好处，如减少术后监测，缩短住院时间,和改善神经系统的结果。此外，清醒的MVD程序提供了精确映射和保存关键大脑功能的机会，提高手术精度和患者预后。
■清醒手术技术的整合，特别是清醒的MVD，代表了TN治疗的显著进步。未来的研究应集中在完善清醒手术技术上，并探索新的方法来优化TN的MVD结果。
