【作者】 王超；

【导师】 娄卫华；

【作者基本信息】 郑州大学 ， 耳鼻咽喉头颈外科， 2012， 硕士

【摘要】 目的探讨舌咽神经痛的发病原因、临床特点、鉴别诊断及治疗,提出术前评估、术式、手术操作要点及术后并发症的防治。方法对2007年9月至2011年4月在郑州大学第一附属医院耳鼻咽喉头颈外科接受手术治疗的17例舌咽神经痛患者的临床资料进行回顾性分析,在此期间治疗方式相对恒定,所有患者均接受颈侧入路舌咽神经切断术。结果17例患者均行颈侧切开经颈静脉孔舌咽神经切断术,术后随访1-5年,所有患者疼痛症状均完全消失。其中15例术后疼痛立即消失,1例于术后两周疼痛完全消失,1例于术后3个月后疼痛完全消失。1例患者术后出现轻度声音嘶哑；1例患者术后出现轻度面神经麻痹,术后2周逐渐恢复；3例患者术后出现咽干不适感；3例患者术中出现脑脊液漏。结论颈侧入路舌咽神经切断术可治愈舌咽神经痛,熟练掌握头颈部解剖结构及细致的手术操作可最大限度的减轻手术区域神经血管的损伤,减少并发症的发生。更多还原

【Abstract】 ObjectiveTo analyze the reason of glossopharyngeal neuralgia, clinical features, differential diagnosis,treatment, and to put torward its preoperative valuation opetative key points.and prevention of postoperation complication.MethodsFrom September2007to April2011,17patients with glossopharyngeal neuralgia have been admitted to our department. All the patients received surgical management through trans-cervical jugular foramen approach.ReasultsAll the cases were followed up for1-5years,the symptoms of glosspharyngeal neuralgia disappeared thoroughly in17cases.Of all17patients,the symptoms of glosspharyngeal neuralgia disappeared immediately after operation in15cases,pain disappeared completely in two weeks in1case,and in three months in1case. one of17cases appeared mild hoarseness;slight facial paralysis in1case,but gradually relieved in2weeks after operation;3cases felt not well in pharynx.cerebrospinal leak occurred in3cases.ConclusionAccording to the thorough and careful preoperative evaluation and the specific condition of patients, good command of anatomical structure of neck and careful surgical skills during the operation can substantially reduce the lesion of nerve and vascular in surgery region, in addition, relieve the occurrence postoperation complication and achieve the satisfied effectiveness.更多还原