原发性三叉神经痛微血管减压和伽玛刀治疗的临床疗效分析(2)
4結论
对于可以耐受手术的患者，MVD是首选，但需承担开颅代价；对于存在手术禁忌或年龄大的患者，GKS更易接受，但起效时间长。
参考文献
[1]Katusic S， et al. Incidence and clinical features of trigeminal neuralgia， Rochester， Minnesota， 1945-1984. Ann Neurol 1990； 27(1)：89-95.
[2]Brisman R. Gamma knife surgery with a dose of 75 to 76.8 Gray for trigeminal neuralgia. J Neurosurg， 2004； 100(5)：848-854.
[3]Sindou M， et al. Microvascular. decompression for primary trigeminal neuralgia： long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression. J Neurosurg.2007 Dec；107(6)：1144-53.
[4]Barker FG， et al. The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med. 1996 Apr 25； 334(17)：1077-83.
[5]Tronnier VM， et al. Treatment of idiopathic trigeminal neuralgia： comparison of long-term outcome after radiofrequency rhizotomy and microvascular decompression. Neurosurgery. 2001 Jun； 48(6)：1261-7.
[6]Martínez Moreno NE， et al. Long-Term Outcomes in the Treatment of Classical Trigeminal Neuralgia by Gamma Knife Radiosurgery： A Retrospective Study in Patients With Minimum 2-Year Follow-up. Neurosurgery. 2016 Dec； 79(6)：879-888.
[7]Maesawa S， et al. Clinical outcomes after stereotactic radiosurgery for idiopathic trigeminal neuralgia. J Neurosurg.2001；94(1)：14-20
[8]Régis J， et al. Prospective controlled trial of gamma knife surgery for essential trigeminal neuralgia. J Neurosurg. 2006 Jun； 104(6)：913-24.
[9]Marshall K， et al. Predictive variables for the successful treatment of trigeminal neuralgia with gamma knife radiosurgery. Neurosurgery. 2012 Mar；70(3)：566-72., http://www.100md.com(方泽斌)
对于可以耐受手术的患者，MVD是首选，但需承担开颅代价；对于存在手术禁忌或年龄大的患者，GKS更易接受，但起效时间长。
参考文献
[1]Katusic S， et al. Incidence and clinical features of trigeminal neuralgia， Rochester， Minnesota， 1945-1984. Ann Neurol 1990； 27(1)：89-95.
[2]Brisman R. Gamma knife surgery with a dose of 75 to 76.8 Gray for trigeminal neuralgia. J Neurosurg， 2004； 100(5)：848-854.
[3]Sindou M， et al. Microvascular. decompression for primary trigeminal neuralgia： long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression. J Neurosurg.2007 Dec；107(6)：1144-53.
[4]Barker FG， et al. The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med. 1996 Apr 25； 334(17)：1077-83.
[5]Tronnier VM， et al. Treatment of idiopathic trigeminal neuralgia： comparison of long-term outcome after radiofrequency rhizotomy and microvascular decompression. Neurosurgery. 2001 Jun； 48(6)：1261-7.
[6]Martínez Moreno NE， et al. Long-Term Outcomes in the Treatment of Classical Trigeminal Neuralgia by Gamma Knife Radiosurgery： A Retrospective Study in Patients With Minimum 2-Year Follow-up. Neurosurgery. 2016 Dec； 79(6)：879-888.
[7]Maesawa S， et al. Clinical outcomes after stereotactic radiosurgery for idiopathic trigeminal neuralgia. J Neurosurg.2001；94(1)：14-20
[8]Régis J， et al. Prospective controlled trial of gamma knife surgery for essential trigeminal neuralgia. J Neurosurg. 2006 Jun； 104(6)：913-24.
[9]Marshall K， et al. Predictive variables for the successful treatment of trigeminal neuralgia with gamma knife radiosurgery. Neurosurgery. 2012 Mar；70(3)：566-72., http://www.100md.com(方泽斌)