ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ ĐAU DÂY V BẰNG PHƯƠNG PHÁP PHẪU THUẬT GIẢI ÉP VI MẠCH VÀ TIÊM CỒN KHOANG MECKEL

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Trung Thành Đinh, Thị Thảo Nguyên Lê, Hồng Đức Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Điện quang và Y học hạt nhân Việt Nam, 2023

Mô tả vật lý: tr.60-65

Bộ sưu tập: Metadata

ID: 379950

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Mục tiêu: Đánh giá kết quả điều trị đau dây V bằng phương pháp phẫu thuật giải ép vi mạch và tiêm cồn khoang Meckel Đối tượng và phương pháp nghiên cứu: Bệnh nhân được chẩn đoán xác định đau dây V, được tiêm cồn khoang Meckel hoặc phẫu thuật giải ép thần kinh thực hiện tại bệnh viên Đa khoa Xanh Pôn từ 1/2017 đến 6/2021. Kết quả: Từ tháng 1 năm 2017 đến tháng 6 năm 2021, có 62 bệnh nhân đau dây V được tiến hành can thiệp tiêm cồn khoang Meckel và phẫu thuật giải ép vi mạch tại bệnh viên đa khoa Xanh Pôn với số bệnh nhân lần lượt là 38 và 24 bệnh nhân. Kết quả thời gian giảm đau của hai phương pháp cả về ngắn và dài hạn là khác biệt không có ý nghĩa thống kê với p>
0,05 theo kiểm định Log rank. Tỷ lệ biến chứng của hai phương pháp là tương đương nhau ngay sau khi can thiệp, sau 3 tháng nhóm phẫu thuật có tỷ lệ biến chứng thấp hơn với p<
0,05 kiểm định Khi bình phương. Kết luận: Hiệu quả giảm đau cả ngắn và dài hạn của hai phương pháp phẫu thuật giải ép vi mạch và tiêm cồn khoang Meckel là tương tự nhau, sự khác biệt không có ý nghĩa thống kê.Objective: To evaluate the results of treatment of trigeminal neuralgia by microvascular decompression surgery and Meckel’s cavity alcohol injection Subject and method: 62 patients with trigeminal neuralgia which medical treatment did not control the pain or had side effects, the patient then received microvascular decompression surgery or Meckel’s cavity alcohol injection performed at Saint Paul general Hospital from January 2017 to June 2021 Results: From January 2017 to June 2021, 62 patients with trigeminal neuralgia underwent microvascular decompression surgery or Meckel’s cavity alcohol injection at Saint Paul general Hospital. Of these, 24 patients were treated by surgical decompression and 38 patients were treated with Meckel’s cavity alcohol injection. The results of pain relief time of both methods in both short and long term are not statistically significant with p<
0.05 according to Log rank test. The complication rate of the two methods is similar right after the intervention but will be lower in the surgical group after 3 months of intervention (p <
0.05 in Chi-squared test). Conclusion: The short and long-term analgesic effect of the two methods of microvascular decompression surgery and Meckel’s cavity alcohol injection are similar, the difference is not statistically significant.

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