{"id":39535,"date":"2024-08-11T05:10:13","date_gmt":"2024-08-11T05:10:13","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=39535"},"modified":"2024-08-11T05:10:13","modified_gmt":"2024-08-11T05:10:13","slug":"%e7%bb%8f%e7%9a%ae%e7%90%83%e5%9b%8a%e5%8e%8b%e8%bf%ab%e6%9c%af%ef%bc%88pbc%ef%bc%89%e6%b2%bb%e7%96%97%e4%b8%89%e5%8f%89%e7%a5%9e%e7%bb%8f%e7%97%9b%ef%bc%88%e4%b8%80%ef%bc%89%e5%8e%86%e5%8f%b2","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=39535","title":{"rendered":"\u7ecf\u76ae\u7403\u56ca\u538b\u8feb\u672f\uff08PBC\uff09\u6cbb\u7597\u4e09\u53c9\u795e\u7ecf\u75db\uff08\u4e00\uff09\u5386\u53f2"},"content":{"rendered":"<\/p>\n

\u4e09\u53c9\u795e\u7ecf\u75db\u88ab\u79f0\u4e3a\u662f\u4eba\u7c7b\u6240\u906d\u53d7\u6700\u4e25\u91cd\u7684\u75bc\u75db\u4e4b\u4e00\u3002\u4ece\u516c\u51431037\u5e74\u7531\u5361\u5e15\u591a\u897f\u4e9a\uff08 Cappadocia\uff09\u7684Avicenna\u9996\u6b21\u8bb0\u8f7d\u4e09\u53c9\u795e\u7ecf\u75db\uff08Trigeminal Neuralgia\uff0cTN\uff09\u4ee5\u6765\uff0c\u81f3\u4eca\u5df2\u6709\u8fd1\u5343\u5e74\u7684\u5386\u53f2\u4e86\u3002\u5176\u6cbb\u7597\u65b9\u5f0f\u4ece\u6700\u521d\u768410\u4e16\u7eaa\u201c\u5631\u60a3\u8005\u996e\u9152\u540e\uff0c\u7136\u540e\u4e22\u5728\u9ed1\u5c4b\u5b50\u91cc\u201d\uff08\u5728\u73b0\u5728\u770b\u6765\u6ed1\u7a3d\u53ef\u7b11\u7684\u6cbb\u7597\u65b9\u5f0f\uff09\uff0c\u5230\u540e\u6765\u9010\u6e10\u51fa\u73b0\u7684\u624b\u672f\u5207\u65ad\u5468\u56f4\u652f\u3001\u534a\u6708\u8282\u9152\u7cbe\u6ce8\u5c04\u3001\u836f\u7269\u6cbb\u7597\u3001\u5c04\u9891\u6bc1\u635f\u3001\u7acb\u4f53\u5b9a\u5411\u653e\u5c04\u3001\u5fae\u8840\u7ba1\u51cf\u538b\u52301983\u5e74Mullan\u521b\u7acb\u7ecf\u76ae\u4e09\u53c9\u795e\u7ecf\u534a\u6708\u8282\u7403\u56ca\u538b\u8feb\u672f\u6cbb\u7597\u4e09\u53c9\u795e\u7ecf\u75db\uff0c\u7ecf\u5386\u4e86\u6570\u767e\u5e74\u7684\u5386\u7a0b\u3002<\/p>\n<\/p>\n

\u7ecf\u76ae \u7403 \u56ca \u538b \u8feb \u672f\uff08Percutaneous Balloon Compression\uff0cPBC\uff09\u81ea\u95ee\u4e16\u4ee5\u6765\uff0c\u7531\u4e8e\u5176\u5b89\u5168\u6027\u9ad8\u3001\u590d\u53d1\u7387\u4f4e\u3001\u60a3\u8005\u8212\u9002\u5ea6\u9ad8\u3001\u64cd\u4f5c\u7b80\u4fbf\u5feb\u901f\u7b49\u7279\u70b9\uff0c\u5728\u4e16\u754c\u8303\u56f4\u5185\u53d7\u5230\u795e\u7ecf\u5916\u79d1\u53ca\u75bc\u75db\u9886\u57df\u7684\u533b\u751f\u7684\u91cd\u89c6\uff0c\u6210\u4e3a\u6cbb\u7597\u4e09\u53c9\u795e\u7ecf\u75db\u7684\u6709\u6548\u6280\u672f\u3002\u76ee\u524d\u8be5\u9879\u6280\u672f\u7ecf\u8fc7\u56db\u5341\u5e74\u7684\u53d1\u5c55\u548c\u5b8c\u5584\uff0c\u4e1a\u5df2\u6210\u719f\u5e76\u5728\u5168\u7403\u63a8\u5e7f\u30022000\u5e74\u4f5c\u4e3a\u5fae\u521b\u65b0\u6280\u672f\u5f15\u5165\u56fd\u5185\u5e76\u5728\u4e34\u5e8a\u63a8\u5e7f\u5e94\u7528\u3002\u6b63\u786e\u4f7f\u7528\u8fd9\u79cd\u6280\u672f\u4ee5\u53ca\u5bf9\u8be5\u6280\u672f\u7684\u89e3\u5256\u7684\u5b8c\u6574\u7406\u89e3\uff0c\u5c06\u6709\u52a9\u4e8e\u6539\u5584\u624b\u672f\u7ed3\u679c\uff0c\u5e76\u6709\u52a9\u4e8e\u907f\u514d\u5e76\u53d1\u75c7\u3002<\/p>\n

\uff08\u4e00\uff09\u5386\u53f2\u4eba\u7269<\/p>\n

\u4e0e\u7ecf\u76ae\u7403\u56ca\u538b\u8feb\u672f\u6cbb\u7597\u4e09\u53c9\u795e\u7ecf\u75db\u76f8\u5173\u7684\u5386\u53f2\u4eba\u7269\uff0c\u4e3b\u8981\u6709Johann Lorenz Gasser\uff081723-1765\uff09:\u4e09\u53c9\u795e\u7ecf\u534a\u6708\u8282\u7684\u53d1\u73b0\u8005\uff1b\u2461 Johann Friedrich Meckel\uff0cthe Elder\uff081724.07.31-1774.09.18\uff09\uff1a\u7b2c\u4e00\u4e2a\u63cf\u8ff0Meckel\u56ca\u7684\u4eba\uff1b\u2462 Fritz H\u00e4rtel:\u7ecf\u5178\u7684\u5375\u5706\u5b54\u7a7f\u523a\u6280\u672f\u7684\u53d1\u660e\u8005\uff1b\u2463 John F. (Sean) Mullan\uff081925-2015\uff09\uff1a\u7403\u56ca\u538b\u8feb\u672f(PBC)\u7684\u8d77\u6e90\u3002<\/p>\n<\/p>\n

\uff08\u4e8c\uff09\u5386\u53f2\u6f14\u53d8<\/p>\n

1\u3001\u7b2c\u4e00\u4e2a\u63cf\u8ff0Meckel\u56ca\u7684\u4eba-Meckel(1748)<\/p>\n

1748\u5e74\uff0c\u5fb7\u56fd\u5916\u79d1\u533b\u751f\u53ca\u89e3\u5256\u5b66\u5bb6Meckel\u5728\u4ed6\u7684\u201c\u7b2c\u4e94\u5bf9\u8111\u795e\u7ecf\u533b\u5b66\u751f\u7406\u5b66\u535a\u58eb\u8bba\u6587\u201d\uff08Dissertatio staruralis Medica Antopico Physiologica de Quinto Pare Nervorum Cerebrium\uff09\u3002\u5c06Meckel\u52064\u4e2a\u90e8\u5206\uff0c\u5bf9\u4e09\u53c9\u795e\u7ecf\u7684\u5386\u53f2\u6587\u732e\u3001\u5206\u7c7b\u3001\u8d77\u6e90\u4ee5\u53ca3\u4e2a\u5206\u652f\u8fdb\u884c\u4e86\u63a2\u8ba8\uff0c\u5e76\u5f15\u7528\u4e86\u591a\u4f4d\u89e3\u5256\u5b66\u5bb6\u5bf9\u4e09\u53c9\u795e\u7ecf\u7684\u63cf\u8ff0\u3002\u6587\u4e2d\uff0cMeckel\u5bf9\u9885\u540e\u7a9d\u7a81\u5165\u9885\u4e2d\u7a9d\u540e\u5185\u4fa7\u5f62\u6210\u4e14\u5305\u542b\u795e\u7ecf\u7684\u786c\u8111\u819c\u9677\u7a9d\u8fdb\u884c\u4e86\u63cf\u8ff0\uff0c\u5e76\u9644\u56fe\u52a0\u5f3a\u4e86\u8fd9\u4e00\u89e3\u5256\u7ec6\u8282\u7684\u7279\u5f81\u4f53\u73b0\u2014\u2014\u8fd9\u5c31\u662f\u540e\u6765\u4eba\u4eec\u719f\u77e5\u7684\u201cMeckel\u2019s\u56ca\u201d\u3002<\/p>\n<\/p>\n

2\u3001\u7b2c\u4e00\u4e2a\u63cf\u8ff0\u4e09\u53c9\u795e\u7ecf\u534a\u6708\u8282\uff08Gasserian Ganglion\/semilunar ganglion\uff09-Gasser& Hirsch\uff081765\uff09 (1748)<\/p>\n

\u5965\u5730\u5229\u533b\u751f\u548c\u89e3\u5256\u5b66\u5bb6Antonius Balthasar Raimundus Hirsch(1744-1778 \u5e74\uff09\u795e\u7ecf\u89e3\u5256\u5b66\u53f2\u4e0a\u7b2c\u4e00\u4f4d\u4ee5\u6700\u8be6\u7ec6\u65b9\u5f0f\u63cf\u8ff0\u4e09\u53c9\u795e\u7ecf\u7ed3\u89e3\u5256\u7ed3\u6784\u7684\u4eba\u3002Thomas Hirsch\u5728Johann Lorenz Gasser\uff081723-1765\uff09\u7684\u6307\u5bfc\u4e0b\uff0c\u64b0\u5199\u8bba\u6587\u201cParis quinti nervorum encephali disquisition anatomica in quantum ad ganglion sibi proprium\uff0c semilunare\uff0c et ad originem nervi intercostalis pertinet\u201d\uff08\u201c\u7b2c\u4e94\u5bf9\u8111\u795e\u7ecf\u4e0e\u534a\u6708\u5f62\u795e\u7ecf\u8282\u548c\u4e09\u53c9\u795e\u7ecf\u8d77\u70b9\u7684\u5173\u7cfb\u7684\u89e3\u5256\u5b66\u7814\u7a76\u201d \u3002<\/p>\n<\/p>\n

3\u3001\u795e\u7ecf\u8282\u51cf\u538b\uff08Decompression \uff09-Taarnh\u00f8j\uff081952\uff09<\/p>\n

\u7ecf\u76ae\u7403\u56ca\u538b\u8feb\u672f\u6cbb\u7597\u4e09\u53c9\u795e\u7ecf\u75db\u6700\u5148\u662f\u53d7\u5230Taarnh\u00f8j\uff081952\uff09\u62a5\u9053\u7684\u4e00\u79cd\u5168\u65b0\u7684\u4e09\u53c9\u795e\u7ecf\u8282\u51cf\u538b\u624b\u672f\u6280\u672f\u542f\u8fea\u3002\u8be5\u624b\u672f\u7684\u57fa\u7840\u662f\u89c2\u5bdf\u4e00\u540d\u5728\u5c0f\u8111\u6865\u89d2\u80c6\u8102\u7624\u63a5\u53d7\u624b\u672f\u7684\u60a3\u8005\u7ee7\u53d1TGN\uff0c\u80bf\u7624\u548c\u5916\u79d1\u533b\u751f\u90fd\u6ca1\u6709\u63a5\u89e6\u8fc7\u4e09\u53c9\u795e\u7ecf\u6839\uff0c\u4f46\u5207\u9664\u80bf\u7624\u540e\uff0c\u75bc\u75db\u6d88\u5931\u3002Taarnh\u00f8j \u5f97\u51fa\u7ed3\u8bba\uff0cTGN \u7684\u75c5\u56e0\u662f\u7531 gasseri \u795e\u7ecf\u8282\u6216\u5ca9\u4e0a\u7aa6\u5f15\u8d77\u7684\u4e09\u53c9\u795e\u7ecf\u6839\u53d7\u538b\u3002\u4f7f\u7528\u786c\u819c\u5916\u901a\u8def\uff0c\u5168\u90e8\u5207\u5f00\u9ea6\u6c0f\u56ca\u5230\u5929\u5e55\uff0c\u51cf\u538b\u795e\u7ecf\u8282\uff0c\u5e76\u5207\u65ad\u4e86\u5ca9\u4e0a\u7aa6\u30021951 \u5e74 7 \u6708\uff0c\u4ed6\u5f00\u59cb\u5e76\u51fa\u7248\u4e86\u4ed6\u7684 12 \u540d\u60a3\u8005\u7684\u7cfb\u5217\uff08Taarnh\u00f8j\uff0c1952 \u5e74\uff09\u3002\u4ed6\u5728\u672f\u540e 8 \u4e2a\u6708\u5185\u6ca1\u6709\u89c2\u5bdf\u5230\u4efb\u4f55\u590d\u53d1\uff0c\u4f46\u5728 30 \u5e74\u540e\u7684\u968f\u8bbf\u4e2d\uff0c\u4ed6\u62a5\u544a\u590d\u53d1\u7387\u8d85\u8fc7 40%\uff08Taarnh\u00f8j\uff0c1982\uff09\u3002\u8fd9\u79cd\u6280\u672f\u6700\u521d\u88ab\u8bb8\u591a\u795e\u7ecf\u5916\u79d1\u533b\u751f\u91c7\u7528\uff08Stender \u548c Grumme\uff0c1968 \u5e74\uff09\uff0c\u4f46\u540e\u6765\u7531\u4e8e\u590d\u53d1\u7387\u9ad8\u800c\u88ab\u653e\u5f03\u3002<\/p>\n<\/p>\n

4\u3001\u795e\u7ecf\u8282\u538b\u8feb\uff08Compression \uff09-Shelden\uff081955\uff09<\/p>\n

1955\u5e74\uff0cShelden\u901a\u8fc7\u6253\u5f00gasseri\u795e\u7ecf\u8282\u786c\u8111\u819c\u540e\uff0c\u4f7f\u7528\u5b9e\u5fc3\u68c9\u5377\u6216\u949d\u89e3\u5256\u5668\u538b\u8feb\u8282\u540e\u4e09\u53c9\u795e\u7ecf\u540e\u6839\u7ea4\u7ef4\u4f18\u4e8e\u7b80\u5355\u7684\u4e09\u53c9\u795e\u7ecf\u51cf\u538b\u3002\u60a3\u8005\u5747\u65e0\u75c7\u72b6\uff0c\u4ec52\u4f8b\u60a3\u8005\u6709\u6301\u7eed\u6027\u611f\u89c9\u969c\u788d\u3002\u540e\u6765\uff0cShelden\u518d\u6b21\u62a5\u544a\u4e86200\u540d\u60a3\u800510\u5e74\u7684\u968f\u8bbf\u7ed3\u679c\uff1a\u636e\u62a5\u9053\u7acb\u5373\u6446\u8131\u4e86\u75bc\u75db\uff0c\u590d\u53d1\u7387\u4e3a25%\uff08Shelden\uff0c1964\uff09\uff0c\u5e76\u4e8e1966\u5e74\u8be6\u7ec6\u7684\u53d9\u8ff0\u4e86\u8fd9\u4e00\u624b\u672f\u6280\u672fCompression Procedure for Trigeminal Neuralgia \u3002 <\/p>\n<\/p>\n

5\u3001\u7403\u56ca\u538b\u8feb- Mullan \uff081983\uff09<\/p>\n

1978\u5e74\uff0c\u7f8e\u56fd\u829d\u52a0\u54e5\u5927\u5b66\u795e\u7ecf\u5916\u79d1\u4e13\u5bb6Sean Mullan\u548cTerry Lichtor\u6559\u6388\uff0c\u9996\u6b21\u5c06Taarnhoj-Sheldon-Pudenz\u624b\u672f\u7b80\u5316\u4e3a\u7ecf\u76ae\u7403\u56ca\u538b\u8feb\u672f\uff0c\u7531\u4e8e\u4e09\u53c9\u795e\u7ecf\u75db\u53ef\u80fd\u662f\u7531\u540e\u9885\u7a9d\u795e\u7ecf\u6839\u53d7\u538b\u6240\u5f15\u8d77\u7684\uff08\u8b6c\u5982\u88ab\u52a8\u9759\u8109\u538b\u8feb\uff0c\u795e\u7ecf\u8840\u7ba1\u51b2\u7a81\uff09\uff0c\u56e0\u6b64\u5bf9\u795e\u7ecf\u8282\u8fdb\u884c\u4e00\u5b9a\u7a0b\u5ea6\u7684\u538b\u8feb\u53ef\u7f13\u89e3\u75bc\u75db\u75c7\u72b6\uff0c\u7403\u56ca\u538b\u8feb\u672f\u636e\u6b64\u5e94\u8fd0\u800c\u751f\u3002\u9996\u6b21\u5c1d\u8bd5\u901a\u8fc7 H\u00e4rtel \u65b9\u6cd5\u7ecf\u76ae\u7a7f\u523a\u5c06 Fogarty \u5bfc\u7ba1\u7403\u56ca\u63a8\u8fdb\u5230 Meckel \u8154\u4e2d\uff0c\u901a\u8fc7\u7403\u56ca\u538b\u8feb\u4e09\u53c9\u795e\u7ecf\u534a\u6708\u8282\u6cbb\u7597\u4e09\u53c9\u795e\u7ecf\u75db\uff0c\u8bd5\u9a8c\u4e4b\u540e\u53d1\u73b0\u6548\u679c\u826f\u597d\uff0c\u5728\u5386\u7ecf50\u4e2a\u6210\u529f\u624b\u672f\u75c5\u4f8b\u4e4b\u540e\uff0c\u4e8e1983\u5e74\u8fdb\u884c\u4e86\u6743\u5a01\u62a5\u9053\u3002\u8fd9\u786e\u7acb\u4e86\u4f7f\u7528\u795e\u7ecf\u8282\u538b\u8feb\u4f18\u4e8e\u7b80\u5355\u7684\u4e09\u53c9\u795e\u7ecf\u51cf\u538b\u7684\u7406\u5ff5\uff0c\u6210\u4e3a\u7403\u56ca\u538b\u8feb\u672f(PBC)\u7684\u8d77\u6e90\u3002<\/p>\n<\/p>\n

1983\u5e74\u7b2c\u4e00\u7bc7\u62a5\u9053\u4e2d\u7684\u75c5\u4f8b\uff0c\u5de6\uff0cX\u7ebf\u4e0b\u63d0\u793a\u7403\u56ca\u4f4d\u7f6e\u6ee1\u610f\uff0c\u6ce8\u610f\u9488\u5934\u5e76\u672a\u8fdb\u5165\u9885\u5185\uff1b\u53f3\uff0c\u7403\u56ca\u4f4d\u7f6e\u4e0d\u5f53\uff0c\u6ce8\u610f\u672a\u5448\u201c\u68a8\u5f62\u201d\u5f62\u72b6<\/p>\n

6\u3001\u7403\u56ca\u538b\u8feb\u673a\u5236- Brown \uff081995\uff09<\/p>\n

1995\u5e74\uff0cBrown\u8bc1\u660e\uff0cPBC\u6cbb\u7597\u4e09\u53c9\u795e\u7ecf\u75db\u7684\u673a\u5236\uff0c\u7403\u56ca\u538b\u8feb\u5bfc\u81f4\u53c2\u4e0e\u611f\u89c9\u89e6\u53d1\u7684\u4e2d\u5927\u7684\u6709\u9ad3\u8f74\u7a81\u5927\u591a\u53d7\u5230\u635f\u4f24\uff0c\u800c\u5c0f\u7684\u6709\u9ad3\u795e\u7ecf\u675f\u5728\u673a\u68b0\u538b\u8feb\u8fc7\u7a0b\u4e2d\u76f8\u5bf9\u53d7\u5230\u635f\u4f24.<\/p>\n<\/p>\n

7\u3001\u949d\u5934\u5957\u7ba1\u9488\u7a7f\u523a- Brown \uff081997\uff09<\/p>\n

1996\u5e74\uff0c Brown\u6539\u8fdb\u4e86PBC\u672f\u5f0f\uff0c\u4f7f\u7528\u949d\u5934\u5957\u7ba1\u9488\u7a7f\u523a<\/p>\n<\/p>\n

\uff08\u4e09\uff09\u4e09\u53c9\u795e\u7ecf\u75db\u5fae\u7403\u56ca\u538b\u8feb\u672f\u5728\u4e2d\u56fd<\/p>\n

1\u3001\u4e09\u53c9\u795e\u7ecf\u75db\u5fae\u7403\u56ca\u538b\u8feb\u672f\u4e2d\u56fd\u7b2c\u4e00\u4eba\u201d-\u9a6c\u9038\uff082003\uff09<\/p>\n

PBC\u5728\u6211\u56fd\u7684\u4e34\u5e8a\u5e94\u7528\u8d77\u6b65\u4e8e 2000 \u5e74\uff0c\u9a6c\u9038\u7b49\u4e8e2003 \u5e74\u9996\u6b21\u62a5\u9053\u3002<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"

\u4e09\u53c9\u795e\u7ecf\u75db\u88ab\u79f0\u4e3a\u662f\u4eba\u7c7b\u6240\u906d\u53d7\u6700\u4e25\u91cd\u7684\u75bc\u75db\u4e4b\u4e00\u3002\u4ece\u516c\u51431037\u5e74\u7531\u5361\u5e15\u591a\u897f\u4e9a\uff08 C … \u7ee7\u7eed\u9605\u8bfb →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-39535","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/39535","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=39535"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/39535\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=39535"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=39535"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=39535"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}