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3例特发性舌咽神经痛的典型重症患者,经施行颌下进路舌咽神经颈段切除术后,彻底消除了疼痛发作。切下神经进行了光电镜检查,主要病理变化为神经纤维脱髓鞘改变。文中着重介绍了颌下进路手术方法,并结合舌咽神经的解剖及其特性,对手术治疗中通常采用的经颅内及颅外进路(口咽和预外)进行了讨论,认为颌下进路是安全、简单、值得推荐的方法。
3 cases of idiopathic glossopharyngeal neuralgia typical critically ill patients, the implementation of submaxillary approach glossopharyngeal nerve neck resection, the complete elimination of the pain episodes. Cut the nerve for the light microscope examination, the main pathological changes of nerve fiber demyelination. This article focuses on the submandibular approach, combined with the anatomy and characteristics of the glossopharyngeal nerve, the commonly used intracranial and extracranial approach (oropharyngeal and extracranial approach) in surgical treatment is discussed, that the jaw The next way is safe, simple and worth recommending.