Hebei medical university second hospital (east hospital area) held a trigeminal neuralgia media presentation
On the morning of January 25, the second hospital of hebei medical university (east hospital) held a media briefing on the treatment of trigeminal neuralgia with microballoon compression in the department of neurosurgery.
According to the province two hospital (east campus), director of neurosurgery doctor zhang more ShenJieShao, trigeminal neuralgia, with a good name of "world a pain", clinical manifestations of a point on the face, mouth and jaw areas, sudden, violent sex such as cutting, burning, electric bright or acupuncture pain, each attack for several seconds to several minutes.Talking, eating, washing face, shaving, brushing teeth and even blowing may induce pain attacks and seriously affect patients' quality of life.Some patients suffered trigeminal neuralgia for more than 30 years, so that more than 10 years did not dare to wash their face;More patients suffer from pain, which affects speech, gradually reject communication with others, and eventually lead to depression.
Zhang added that there are two types of treatment for trigeminal neuralgia: conservative treatment and surgical treatment.In the early stage, the conservative treatment effect represented by carbamazepine was better, but with the progression of the disease, the dosage gradually increased, and the side effects of the drug, such as dizziness, lethargy, white blood cell reduction and liver function damage, made most patients feel uncomfortable.At present, surgical treatment is the only treatment that can achieve long-term effectiveness.Prior to this, surgical treatment mainly included radiofrequency thermocoagulation and craniotomy microvascular decompression.Radiofrequency thermocoagulation is minimally invasive, with little damage and low cost. However, patients need to be fully awake and cooperate during the operation. Besides, patients will suffer severe pain during the process of thermocoagulation and have high postoperative recurrence rate.Craniotomy for microvascular decompression is efficient and recurrence rate is low, but "craniotomy" means high risk and cost, especially for some elderly patients with systemic basic diseases.
In order to save patients' expense and avoid craniotomy, the neurosurgery department of the second hospital of hebei medical university introduced the technology of microballoon compression for treatment of trigeminal neuralgia, and established a team led by professor zhang jinshen and doctor Yang lijun. After careful study and careful deliberation, the team has been able to skillfully practice this technology.
Yang lijun, deputy chief physician of the department of neurosurgery of the second provincial hospital (east hospital), said, "microballoon compression surgery was initiated by professor ma yi, a famous neurosurgery scholar in China. It has been proven by more than 10 years and thousands of cases.During the operation, the patient was temporarily under general anesthesia without pain and underwent accurate puncture by X-ray. After feeding into the balloon, the trigeminal nerve was compressed for several minutes, and the operation process was less than 20 minutes.The postoperative pain was immediately relieved, the whole wound was only about the size of a needle eye, the cost was only half of that of craniotomy, and the recurrence rate of microballoon compression was lower than that of craniotomy.
Subsequently, the media to attend the conference came to the examination of hao da ye.Hao, 62, from xinji, who has suffered from trigeminal neuralgia for more than two decades, was delighted when doctors told him everything was ok for a review.According to hao, most of his left face suffered from trigeminal neuralgia since he was in his forties. He had taken traditional Chinese medicine, used acupuncture, and had surgery, but nothing happened. Finally, some doctors recommended him for craniotomy.Later I heard that the second provincial hospital (east hospital) "compression of the balloon does not need to open the skull and the treatment process is painless, but also can cure trigeminal neuralgia" after, he then mustered the courage to come to the hospital, after more than 10 minutes of treatment, anesthesia sober, hao da ye touched his left face with his hand, actually no pain.The day after the operation, hao was released from the hospital happily accompanied by his family.
It is reported that up to now, the neurosurgery department of the second provincial hospital (east hospital) has successfully performed microballoon compression surgery for more than ten patients with trigeminal neuralgia. After postoperative follow-up, the surgical effect is good and the patient satisfaction is high.
(source: Great Wall we media)