therapeuticЮжно-Российский журнал терапевтической практикиSouth Russian Journal of Therapeutic Practice2712-81563033-8344РостГМУ10.21886/2712-8156-2024-5-3-71-77therapeutic-508Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHОтдалённые результаты различных способов устранения нейроваскулярного конфликта у больных классической невралгией тройничного нерваLong-term results of various ways to eliminate neurovascular conflict in patients with classical trigeminal neuralgiahttps://orcid.org/0000-0002-9967-4405БалязинаЕ. В.BalyazinaE. V.

Балязина Елена Викторовна, профессор кафедры неврологии и нейрохирургии

Ростов-на-Дону

Elena V. Balyazina, Professor of the Department of Neurology and Neurosurgery

Rostov-on-Don

ebaliazina@yandex.ruАфанасьеваА. В.AfanasyevaA. V.

Афанасьева Анастасия Васильевна, студентка 

Ростов-на-Дону

Anastasia V. Afanasyeva, student 

Rostov-on-Don

anastasiy5599@gmail.comhttps://orcid.org/0000-0001-8381-8876БалязинВ. А.BalyazinV. A.

Балязин Виктор Александрович, заведующий кафедрой нервных болезней и нейрохирургии

Ростов-на-Дону

Viktor A. Balyazin, Head of the Department of Nervous Diseases and Neurosurgery

Rostov-on-Don

balyazin.victor@yandex.ruhttps://orcid.org/0000-0003-3839-7253КадянН. Г.KadyanN. G.

 Кадян Норайр Грвчяевич, врач центра неврологического 

Ростов-на-Дону

Norayr H. Kadyan, doctor at the Center of Neurology

Rostov-on-Don

Nor.kadian@gmail.comhttps://orcid.org/0000-0002-3239-5954Балязин-ПарфеновИ. В.Balyazin-ParfenovI. V.

Балязин-Парфенов Игорь Викторович, профессор кафедры нервных болезней и нейрохирургии

Ростов-на-Дону

Igor V. Balyazin-Parfenov, Professor of the Department of Nervous Diseases and Neurosurgery

Rostov-on-Don

baliazin-parfenov@mail.ruФГБОУ ВО «Ростовский государственный медицинский университет» Минздрава РоссииРоссияRostov State Medical UniversityRussian Federation202427092024537177Copyright © Балязина Е.В., Афанасьева А.В., Балязин В.А., Кадян Н.Г., Балязин-Парфенов И.В., 20242024Балязина Е.В., Афанасьева А.В., Балязин В.А., Кадян Н.Г., Балязин-Парфенов И.В.Balyazina E.V., Afanasyeva A.V., Balyazin V.A., Kadyan N.G., Balyazin-Parfenov I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therapeutic-j.ru/jour/article/view/508

Цель: изучить отдалённые результаты лечения классической невралгии тройничного нерва в зависимости от способа устранения нейроваскулярного конфликта. Материал и методы: исследование основано на изучении отдаленных результатов лечения классической невралгии тройничного нерва 261 больному, которым была выполнена микроваскулярная декомпрессия с использованием различных приёмов устранения нейроваскулярного конфликта путём обработки архивных историй болезней, результатов амбулаторных осмотров и опроса пациентов в телефонном режиме. Результаты: наилучшие отдалённые результаты были у больных, которым устранение нейроваскулярного конфликта производилось путём перемещения петли конфликтующей артерии в бесконфликтное положение с заключением ее в муфтообразный микропротектор. Заключение: профилактика возобновления нейроваскулярного конфликта в послеоперационном отдаленном периоде путём заключения в микропротектор перемещённой в бесконфликтное положение конфликтующей артерии обеспечивает наилучшие отдалённые результаты с меньшим количеством рецидива заболевания.

Objective: to study the long-term results of the treatment of classical trigeminal neuralgia, depending on the method of eliminating neurovascular conflict. Material and methods: the study is based on the study of long-term results of treatment of classical trigeminal neuralgia in 261 patients who underwent microvascular decompression using various techniques to eliminate neurovascular conflict by processing archival medical histories, results of outpatient examinations and telephone interviews of patients. Results: the best long-term results were in patients for whom the elimination of neurovascular conflict was performed by moving the loop of the conflicting artery to a conflict-free position with its confinement in a muff-like microprotector. Conclusion: Prevention of the resumption of neurovascular conflict in the postoperative long-term period by enclosing the conflicting artery in a microprotector moved to a conflict-free position provides the best long-term results with less colic of the disease.

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The authors declare that there are no conflicts of interest present.