三叉神经痛的外科治疗进展研究
Progress in Surgical Treatment of Trigeminal Neuralgia
摘要: 三叉神经痛是在面部三叉神经分布区域内反复发作的一种短暂性神经痛,严重影响患者的日常生活及精神状态。对于药物治疗无效时应尽早考虑手术治疗,目前外科治疗手段大致分为开颅手术、经皮神经损伤及立体定向放射治疗3类,各类手术方式的适应症及优缺点各有不同,现本文将就这3类治疗方式的临床应用展开综述,旨在为三叉神经痛的个体化手术治疗提供一定的科学依据。
Abstract: Trigeminal neuralgia is a kind of transient neuralgia that occurs repeatedly in the distribution area of facial trigeminal nerve, which seriously affects the daily life and mental state of patients. Surgical treatment should be considered as soon as possible when drug treatment is ineffective. At present, surgical treatment methods are roughly divided into craniotomy, percutaneous nerve injury and stereotactic radiotherapy. The indications, advantages and disadvantages of various surgical methods are different. Now, this article will review the clinical application of these three types of surgical methods in order to provide certain scientific basis for the individualized surgical treat-ment of trigeminal neuralgia.
文章引用:何滨, 张崇进, 付登礼. 三叉神经痛的外科治疗进展研究[J]. 临床医学进展, 2023, 13(2): 2313-2319. https://doi.org/10.12677/ACM.2023.132323

参考文献

[1] The International Classification of Headache Disorders (2018) Subcommittee of the International Headache Society (IHS). 3rd Edition, Cephalalgia.
[2] van Hecke, O., Austin, S.K. and Khan, R.A. (2014) Neuropathic Pain in the Gen-eral Population: A Systematic Review of Epidemiological Studies. Pain, 155, 654-662. [Google Scholar] [CrossRef] [PubMed]
[3] Maarbjerg, S. and Benoliel, R. (2021) The Changing Face of Tri-geminal Neuralgia—A Narrative Review. Headache, 61, 817-837. [Google Scholar] [CrossRef] [PubMed]
[4] Luo, Y., He, M., Li, C. and Yang, H. (2019) A Research on Quality of Life Score (QOLS) of Patients with Trigeminal Neu-ralgia (TN). Journal of Infection and Public Health, 12, 690-694. [Google Scholar] [CrossRef] [PubMed]
[5] Cruccu, G., Finnerup, N.B., Jensen, T.S., Scholz, J., Sindou, M., Svensson, P., Treede, R.D., Zakrzewska, J.M. and Nurmikko, T. (2016) Trigeminal Neuralgia: New Classification and Diagnostic Grading for Practice and Research. Neurology, 87, 220-228. [Google Scholar] [CrossRef
[6] Cruccu, G., Pennisi, E.M., Antonini, G., Biasiotta, A., Stefano, G.D., La Cesa, S., Leone, C., Raffa, S., Sommer, C. and Truini, A. (2014) Trigeminal Isolated Sensory Neurop-athy (TISN) and FOSMN Syndrome: Despite a Dissimilar Disease Course Do They Share Common Pathophysiological Mechanisms? BMC Neurology, 14, 248-256. [Google Scholar] [CrossRef] [PubMed]
[7] Cruccu, G., Di Stefano, G. and Truini, A. (2020) Trigeminal Neuralgia. The New England Journal of Medicine, 383, 754-762. [Google Scholar] [CrossRef
[8] Dandy, W.E. (1929) An Operation for the Cure of Tic Douloureux: Partial Section of the Sensory Root at the Pons. The Archives of Surgery, 18, 687-734. [Google Scholar] [CrossRef
[9] Dandy, W.E. (1932) The Treatment of Trigeminal Neuralgia by the Cerebellar Route. Annals of Surgery, 96, 787-795. [Google Scholar] [CrossRef] [PubMed]
[10] Pressman, E., Jha, R.T. and Zavadskiy, G. (2020) Teflon or Ivalon (R): A Scoping Review of Implants Used in Microvascular Decompression for Trigeminal Neuralgia. Neuro-surgical Review, 43, 79-86. [Google Scholar] [CrossRef] [PubMed]
[11] Liu, J., Chen, Z., Feng, T., Jiang, B., Yuan, Y. and Yu, Y. (2019) Biomedical Glue Sling Technique in Microvascular Decompression for Trigeminal Neuralgia Caused by Athero-sclerotic Vertebrobasilar Artery: A Description of Operative Technique and Clinical Outcomes. World Neurosurgery, 128, e74-e80. [Google Scholar] [CrossRef] [PubMed]
[12] Sharma, R., Phalak, M., Katiyar, V., Borkar, S., Kale, S.S. and Mahapatra, A.K. (2018) Microvascular Decompression versus Stereotactic Radiosurgery as Primary Treatment Modality for Trigeminal Neuralgia: A Systematic Review and Meta-Analysis of Prospective Comparative Tri-als. Neurology India, 66, 688-694. [Google Scholar] [CrossRef] [PubMed]
[13] Obermann, M. (2010) Treatment Options in Trigeminal Neuralgia. Therapeutic Advances in Neurological Disorders, 3, 107-115. [Google Scholar] [CrossRef] [PubMed]
[14] Holste, K., Chan, A.Y., Rolston, J.D. and Englot, D.J. (2020) Pain Outcomes Following Microvascular Decompression for Drug-Resistant Trigeminal Neuralgia: A Systematic Review and Meta-Analysis. Neurosurgery, 86, 182-190. [Google Scholar] [CrossRef] [PubMed]
[15] Tomasello, F., Esposito, F., Abbritti, R.V., Angileri, F.F., Conti, A., Cardali, S.M. and Torre, D.L. (2016) Microvascular Decompression for Trigeminal Neuralgia: Technical Refinement for Complication Avoidance. World Neurosurgery, 94, 26-31. [Google Scholar] [CrossRef] [PubMed]
[16] Narayan, V., Savardekar, A.R., Patra, D.P., Mohammed, N., Thakur, J.D., Riaz, M. and Nanda, A. (2018) Safety Profile of Superior Petrosal Vein (the Vein of Dandy) Sacrifice in Neurosurgical Procedures: A Systematic Review. Neurosurgical Focus, 45, E3. [Google Scholar] [CrossRef
[17] Chen, F., Niu, Y., Meng, F., Xu, P., Zhang, C., Xue, Y., Wu, S. and Wang, L. (2021) Recurrence Rates after Microvascular Decompression in Patients with Primary Trigeminal Neu-ralgia and Its Influencing Factors: A Systematic Review and Meta-Analysis Based on 8,172 Surgery Patients. Frontiers in Neurology, 12, Article ID: 738032. [Google Scholar] [CrossRef] [PubMed]
[18] Lee, J.H., Lee, J.M. and Choi, C.H. (2020) Personal Experience with Microvascular Decompression and Partial Sensory Rhizotomy for Trigeminal Neuralgia. Yeungnam University Journal of Medicine, 38, 202-207. [Google Scholar] [CrossRef] [PubMed]
[19] Liu, R., Deng, Z., Zhang, L., Liu, Y., Wang, Z. and Yu, Y. (2020) The Long-Term Outcomes and Predictors of Microvascular Decompression with or without Partial Sensory Rhizotomy for Trigeminal Neuralgia. Journal of Pain Research, 13, 301-312. [Google Scholar] [CrossRef
[20] Liang, X., Dong, X., Zhao, S., Ying, X., Du, Y. and Yu, W. (2017) A Retrospective Study of Neurocombing for the Treatment of Trigeminal Neuralgia without Neurovascular Compression. Irish Journal of Medical Science, 186, 1033-1039. [Google Scholar] [CrossRef] [PubMed]
[21] Sabourin, V., Mazza, J., Garzon, T., Head, J., Ye, D., Stefanelli, A., Saiegh, F.A., Lavergne, P. and Evans, J. (2020) Internal Neurolysis with and without Microvascular Decompression for Trigeminal Neuralgia: Case Series. World Neurosurgery, 143, e70-e77. [Google Scholar] [CrossRef] [PubMed]
[22] Fan, X., Xu, F., Ren, H., Lu, Z., Bu, H., Ma, L., Kong, C. and Wang, T. (2021) The Analysis of Percutaneous Balloon Compression on Efficacy and Negative Emotion in the Treatment of Recurrent Trigeminal Neuralgia after Surgical Procedures. Pain Physician, 24, E1255-E1262.
[23] Chaves, J.P.G., Oliveira, T.V.H.F, Francisco, A.N., Trintinalha, M.O. and Carvalho, N.V.P. (2021) Trigeminal Neuralgia Recurrence: A Comparison of Microvascular Decompression and Percutaneous Balloon Compression: A Five Years Follow-Up Study. Arquivos de Neuro-Psiquiatria, 79, 51-55. [Google Scholar] [CrossRef] [PubMed]
[24] Cheng, J.S., Lim, D.A., Chang, E.F. and Barbaro, N.M. (2014) A Review of Percutaneous Treatments for Trigeminal Neuralgia. Neurosurgery, 10, 25-33. [Google Scholar] [CrossRef
[25] Berra, L.V., Armocida, D., Pesce, A., Rita, A. and Santoro, A. (2019) Herpes Simplex Reactivation after Surgical Treatment of Trigeminal Neural-gia: A Retrospective Cohort Study. World Neurosurgery, 127, e16-e21. [Google Scholar] [CrossRef] [PubMed]
[26] Li, M.W., Jiang, X.F. and Niu, C.S. (2021) Efficacy of and Risk Factors for Percutaneous Balloon Compression for Trigeminal Neuralgia in Elderly Patients. British Journal of Neuro-surgery, 35, 280-284. [Google Scholar] [CrossRef] [PubMed]
[27] Xia, Y., Yu, G., Min, F., Xiang, H., Huang, J. and Leng, X. (2022) The Focus and New Progress of Percutaneous Balloon Compression for the Treatment of Trigeminal Neuralgia. Journal of Pain Research, 15, 3059-3068. [Google Scholar] [CrossRef
[28] Han, K.R., Chae, Y.J., Lee, J.D. and Kin, C. (2017) Trigeminal Nerve Block with Alcohol for Medically Intractable Classic Trigeminal Neuralgia: Long-Term Clinical Effectiveness on Pain. International Journal of Medical Sciences, 14, 29-36. [Google Scholar] [CrossRef] [PubMed]
[29] Kirvela, O., Svedstrom, E. and Lundbom, N. (1992) Ultrasonic Guidance of Lumbar Sympathetic and Celiac Plexus Block: A New Technique. Regional Anesthesia, 17, 43-46.
[30] Maher, R.M. (1995) Relief of Pain in Incurable Cancer. The Lancet, 268, 18-20. [Google Scholar] [CrossRef
[31] Asplund, P., Blomstedt, P. and Bergenheim, A.T. (2016) Percutaneous Balloon Compression vs Percutaneous Retrogasserian Glycerol Rhizotomy for the Primary Treatment of Trigeminal Neuralgia. Neurosurgery, 78, 421-428. [Google Scholar] [CrossRef
[32] Noorani, I., Lodge, A., Vajramani, G. and Sparrow, O. (2016) Comparing Percutaneous Treatments of Trigeminal Neuralgia: 19 Years of Experience in a Single Centre. Stereo-tactic and Functional Neurosurgery, 94, 75-85. [Google Scholar] [CrossRef] [PubMed]
[33] Kanpolat, Y., Savas, A., Bekar, A. and Berk, C. (2001) Percutaneous Controlled Radiofrequency Trigeminal Rhizotomy for the Treatment of Idiopathic Trigeminal Neuralgia: 25-Year Experi-ence with 1,600 Patients. Neurosurgery, 48, 524-532. [Google Scholar] [CrossRef] [PubMed]
[34] Lloyd, J.W., Barnard, J.D. and Glynn, C.J. (1976) Cry-oanalgesia. A New Approach to Pain Relief. The Lancet, 2, 932-934. [Google Scholar] [CrossRef
[35] Zakrzewska, J.M. (1991) Cryotherapy for Trigeminal Neu-ralgia: A 10 Year Audit. British Journal of Oral and Maxillofacial Surgery, 29, 1-4. [Google Scholar] [CrossRef
[36] Bansal, V., Mowar, A., Dubey, P. and Gupta, S. (2020) Role of Cryotherapy in Trigeminal Neuralgia with Certain Modifications: A Long-Term Prospective Study. Oral Surgery, Oral Medicine, Oral Pathology Oral Radiology, 129, 290-295. [Google Scholar] [CrossRef] [PubMed]
[37] Leksell, L. (1971) Stereotaxic Radio Surgery in Trigeminal Neu-ralgia. Acta Chirurgica Scandinavica, 137, 311-314.
[38] Lindquist, C., Kihlström, L. and Hellstrand, E. (1991) Func-tional Neurosurgery—A Future for the Gamma Knife? Stereotactic and Functional Neurosurgery, 57, 72-81. [Google Scholar] [CrossRef] [PubMed]
[39] Tuleasca, C., Regis, J., Sahgal, A., Salles, A.D., Hayashi, M., Ma, L., Martínez-Álvarez, R., Paddick, I., Ryu, S., Slotman, B.J and Levivier, M. (2018) Stereotactic Radiosurgery for Trigemi-nal Neuralgia: A Systematic Review. Journal of Neurosurgery, 130, 733-757. [Google Scholar] [CrossRef
[40] Mendelson, Z.S., Velagala, J.R., Kohli, G., Heir, G.M., Mammis, A. and Liu, J.K. (2018) Pain-Free Outcomes and Durability of Surgical Intervention for Trigeminal Neuralgia: A Com-parison of Gamma Knife and Microvascular Decompression. World Neurosurgery, 112, e732-e746. [Google Scholar] [CrossRef] [PubMed]
[41] Spina, A., Mortini, P., Alemanno, F., Houdayer, E. and Iannac-cone, S. (2017) Trigeminal Neuralgia: Toward a Multimodal Approach. World Neurosurgery, 103, 220-230. [Google Scholar] [CrossRef] [PubMed]