Doctors plan

Author:Changjiang Daily Time:2022.09.09

The Yangtze River Daily Da Wuhan client September 9th news trigeminal neuralgia is called "the first pain in the world". In the past 11 years, Mr. Liu, 44, was plagued by the illness. Each time he had an electric shock or a knife cut, he was painful, and he missed two teeth. Recently, in the Department of Pain in Wuhan Fourth Hospital, the doctor placed a "pear" in his intracranial intracranial, cleverly eliminating his trouble.

"The left half face is like a knife cut, and the wind hurts all the time." Mr. Zhang recalled that he had a trigeminal nerve pain for the first time 10 years ago. Life. At first, he mistakenly thought it was toothache, so he went to the dental department to pull out two teeth. However, the pain was not eased later, and the pain often occurred. After seeking medical treatment, Mr. Zhang was finally diagnosed with trigeminal neuralgia.

In the past ten years, Mr. Zhang has improved his pain through acupuncture and Chinese medicine. In the past six months, Mr. Zhang's condition has increased again after stopping the drug. Recently, Mr. Zhang came to the Pain Department of the Fourth Hospital of Wuhan City to seek a new treatment plan. After CT examination, the doctor found that Mr. Zhang's left trigeminal nerve was very close to blood vessels. Dr. Zhou Waiping, the head of the Pain Department of the Wu Sheng Road District of the hospital, introduced that the trigeminal nerve is the thickest skull nerve with the thickest mandibular facial part and has three important branches. Trigema nerve fiber's medulla is degenerated, like the insulation "rubber" of the outer layer of the "wire" is damaged, and the electrical conductivity of the nerve has a short circuit, which causes the nerve to be abnormal impulsive and cause electrical strikes.

Doctors implant "pear" -like microspheres in the patient's trigeminal nerve root.

According to Mr. Zhang's condition, the doctor formulated a surgical plan for "trigeminal nerve pain microsphere compression" for him. During the operation, under the guidance of the C -arm X -ray machine, Dr. Hua Lei used a thin needle to accurately pierce the skull base round hole outside the corner of the patient's left mouth, send the microspheres to the target position, and then slowly go to the microspheres. Inject contrast agents. As the microspheres rise slowly, the standard "pear" shape is presented under X -ray. After 3 minutes of compression, the surgeon pulled out the microspheres and puncture needles. The surgery was less than 1 hour from anesthesia to the end. After the operation, the pain of Mr. Zhang's more than ten years of pain finally disappeared.

It is understood that the microstructure compression treatment of the trigeminal neuralgia is also called "surgery in the needle tip". The wounds are only one needle -eye size, the operation time is short, and the patient is painless under the general anesthesia. Essence Dr. Zhou Waiping introduced that trigeminal pain is more electric shock, knife cutting, tearing -like pain, sudden sudden, and many "trigger points" or "trigger point". Touching or stimulating the trigger point can induce pain. The disease is difficult to heal, so when the face obviously feels severe pain, it is necessary to go to a regular hospital for diagnosis and treatment immediately, and conduct regular treatment as soon as possible. (Changjiang Daily reporter Wu Ye correspondent Zou Yigang Chen Mengyuan)

[Edit: Yu Lina]

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