Patient Trigema neuralgia 22 years of doctor minimally invasive help to relieve

China Youth Daily Client News (China Youth Daily · Zhongqing.com reporter Lin Jie) "Faces on both sides are painful and knife cut. I did not expect to be fine after surgery. ) Ru religiously tells his way to seek medical treatment. It turned out that she was tortured by the trigeminal nerve pain, who was known as "the first pain in the world" for 22 years. Recently, she has undergone microvascular decompression in neurosurgery at the Second People's Hospital of Guangdong Province and has escaped the pain of pain.

Zhang Yong, director of neurosurgery of the Second People's Hospital of Guangdong Province, said that the high -incidence of trigeminal neuralgia is middle -aged and elderly people 50 to 70 years old. Consider trigeminal neuralgia ".

Trigeminal neuralgia is a common brain neurological disease. It is a recusted strenuous and severe neuralgia in the facial trigeminal nerve distribution area. It is unbearable such as lightning -oriented and knife cutting during the attack, which seriously affects the patient's normal work and life. The cause of trigeminal neuralgia is mainly caused by genetic and environmental factors.

Since 2000, Ms. Wei has repeated pain on her left face, mainly concentrated in the lute position. She said, "Sometimes it occurs for a few seconds, and sometimes it takes a few minutes, especially when brushing teeth and chewing food is easy to appear." At first, Ms. Wei thought it was toothache. She went to the hospital to pull out the teeth of the painful position. However, after the tooth extraction, the symptoms of pain have not been reduced, and they still have every day.

Later, Ms. Wei's pain developed into both sides of the face. She was diagnosed as "bilateral trigeminal neuralgia". After a long time, the analgesic effect of the drug is getting worse and worse, and the dose gradually increases to 8 capsules/day, but the pain is still "back".

Since the beginning of this year, Ms. Wei has more painful frequency, and she has come to the Second People's Hospital of Guangdong Province for medical treatment.

"The proportion of bilateral trigeminal nerve pain accounted for only 3%of all cases." Zhang Yong believes that Ms. Wei's trigeminal nerve pain is very typical and the condition is really serious. After a detailed examination, especially the MR thin layer scan of the image department, you can clearly see the form and anatomical structure of Ms. Wei's trigeminal nerve. Not obvious.

After the recovery, Ms. Wei saw Dr. Zhang Yong again. Lin Jie/Photo

"Considering the most severe pain on the left side of the patient at present, after full communication, we formulated the surgical plan -the left trigeminal microvascular decompression surgery." Zhang Yong introduced that on the day of the operation, he opened behind Ms. Wei. A 4 -centimeter -long port, find the blood vessels that compress the trigeminal nerve under the microscope, carefully separate the blood vessels, and add pads between the blood vessels and nerves, thereby eliminating the cause of pain. Two hours later, the surgery was completed.

Since 2006, the clinical study of trigeminal neuralgia in the Second People's Hospital of Guangdong Province has received a total of 4,000 patients with trigeminal neuralgia. Zhang Yong said that the treatment of trigeminal nerve pain is the first choice of drug relief. If the drug treatment is invalid, consider minimally invasive surgical treatment. Microvascular pressure reduction is currently recognized by the medical community for the treatment of trigeminal neuralgia. This surgical technology is very mature and the incidence of postoperative complications is low.

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