PDF(Pubmed)
Abstract：
Trigeminal neuralgia (TN), a severe facial pain condition, is often treated with microvascular decompression (MVD). While MVD is effective for arterial neurovascular compression, its efficacy in cases of venous compression and the intraoperative management of such cases remain areas of debate. This review aimed to analyze the intraoperative management strategies for offending veins during MVD and evaluate the outcomes of these procedures in cases of TN with purely venous compression. An extensive review of studies reporting on the intraoperative handling of veins and the surgical outcomes of MVD in purely venous compression cases was conducted. Fifteen full-text studies were included, encompassing a total of 600 patients. Notably, 82.33% of these patients achieved a Barrow Neurological Institute (BNI) I pain score, with follow-up periods ranging from 3 months to 12 years. MVD is a viable and effective treatment option for TN in cases of venous compression, with a significant proportion of patients experiencing substantial pain relief.
摘要：
三叉神经痛(TN),严重的面部疼痛,常采用微血管减压术(MVD)治疗。虽然MVD对动脉神经血管压迫有效，其在静脉压迫病例中的疗效以及此类病例的术中处理仍存在争议。这篇综述旨在分析MVD期间侵犯静脉的术中管理策略，并评估在单纯静脉压迫的TN病例中这些手术的结果。对报道纯静脉压迫病例的术中静脉处理和MVD手术结果的研究进行了广泛的回顾。共纳入了15项全文研究，共600名患者。值得注意的是,这些患者中有82.33％达到了巴罗神经研究所（BNI）I疼痛评分，随访期从3个月到12年不等。在静脉压迫的情况下，MVD是TN的可行和有效的治疗选择，相当比例的患者经历了实质性的疼痛缓解。
