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J Neurol Surg B Skull Base 2020; 81(05): 572-578
DOI: 10.1055/s-0039-1692687
Original Article

A Study on the Recurrence Rate of Trigeminal Neuralgia after MVD and the Related Factors

Jiang-Hua Zheng
1   The Fifth Affiliated Hospital of Zunyi Medical College, Zhuhai City, Guangdong, China
,
Kai Sun
2   The Third Military Medical University, Chongqing, PR China
,
Hai-Tao Zhang
3   Department of Neurosurgery, Jining No.1 People's Hospital, Jining City, China
,
Yun-Jie Xie
3   Department of Neurosurgery, Jining No.1 People's Hospital, Jining City, China
,
Ling-Xi Wang-Yang
4   Graduate School of Jining Medical University, Jining City, China
,
Hao-Yang Chen
3   Department of Neurosurgery, Jining No.1 People's Hospital, Jining City, China
,
Chong Wang 
3   Department of Neurosurgery, Jining No.1 People's Hospital, Jining City, China
› Institutsangaben Funding No funding was received for this research.
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Abstract

The aim of this article is to investigate the related factors affecting the recurrence of microvascular decompression (MVD) after trigeminal neuralgia. We selected 400 cases of patients who met the diagnostic criteria of primary trigeminal neuralgia. The recurrence rate of patients and their statistical data related factors such as age, gender, disease duration, pain branches, vascular compression, patients, and complications (urban and rural), were collected. Of the 400 cases, 36 had recurrence after 2 years. In female group, the recurrence rate was (9.4%) higher than the recurrence rate in male group (8%); no recurrence rate of vascular compression group (40%) was higher than that of vascular compression group recurrence rate (8.6%); the recurrence rate of each branch in pain group from high to low was V2–3 (13.4%), V2 (12.5%), V1 (9.1%), V3 (7.5%), V1–2-3 (4.4%), V1–2 (4.3%), V1–3 (0%); and the difference was statistically significant (p < 0.05).Gender of the patient, the presence of vascular pressure, and the branch of pain could significantly affect the postoperative recurrence rate of trigeminal neuralgia in patients treated with simple MVD (p < 0.05).

Keywords

trigeminal neuralgia - microvascular decompression - pain branch - recurrence rate

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (name of institute/committee) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.




Publikationsverlauf

Eingereicht: 06. April 2019

Angenommen: 08. Mai 2019

Artikel online veröffentlicht:
24. Juli 2019

Georg Thieme Verlag KG
Stuttgart · New York

 

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