[1]李兴可　鲁　明　赵绍云　樊雁峰　卢建侃　顾有明　林德留　邓心情.唤醒麻醉联合三维重建影像辅助下PMC治疗原发性三叉神经痛的疗效[J].中国临床神经外科杂志,2020,(08):500-502.[doi:10.13798/j.issn.1009-153X.2020.08.002]
　LI Xing-Ke,LU Ming,ZHAO Shao-Yun,et al.Efficacy of percutaneous microballoon compression under guidance of awakening anesthesia combined with three-dimensional reconstruction imaging for patients with primary trigeminal neuralgia[J].,2020,(08):500-502.[doi:10.13798/j.issn.1009-153X.2020.08.002]
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唤醒麻醉联合三维重建影像辅助下PMC治疗原发性三叉神经痛的疗效()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2020年08期
页码:
500-502
栏目:
论著
出版日期:
2020-08-25

文章信息/Info

Title:
Efficacy of percutaneous microballoon compression under guidance of awakening anesthesia combined with three-dimensional reconstruction imaging for patients with primary trigeminal neuralgia
文章编号:
1009-153X（2020）08-0500-03
作者:
李兴可　鲁　明　赵绍云　樊雁峰　卢建侃　顾有明　林德留　邓心情
510510 广州，广东三九脑科医院神经外五科（李兴可、鲁　明、赵绍云、樊雁峰、卢建侃、顾有明、林德留、邓心情）
Author(s):
LI Xing-Ke;  LU Ming;  ZHAO Shao-Yun;  FAN Yan-Feng;  LU Jian-Kan;  GU You- ming;  LIN De-Liu;  DENG Xin-Qing.
Department of Neurosurgery, Guangdong 999 Brain Hospital, Guangzhou 510510, China
关键词:
原发性三叉神经痛; 唤醒麻醉; 三维重建影像; 经皮三叉神经半月节微球囊压迫术; 疗效
Keywords:
Primary trigeminal neuralgia;  Percutaneous microballoon compression;  Awaking anesthesia;  Three-dimensional
分类号:
A
DOI:
10.13798/j.issn.1009-153X.2020.08.002
文献标志码:
R 745.1+1; R 651.1+1
摘要:
目的 探讨唤醒麻醉联合三维重建影像辅助下经皮三叉神经半月节微球囊压迫术（PMC）治疗原发性三叉神经痛（PTN）的效果。方法 回顾性分析2018年8月至2019年12月收治的13例PTN的临床资料。均采用唤醒麻醉联合三维重建影像辅助下PMC治疗。结果 13例术中球囊压迫的平均时间为3 min，球囊造影剂充盈量平均为0.6 ml。12例术后即刻疼痛完全消失，1例明显缓解；有效率为100%，治愈率为92.3%。术后发生口角疱疹3例（23.1%）、面部血肿1例（7.6%），术后2周内恢复正常。术后均有患侧面部轻微麻木感，未出现角膜反射减弱、角膜溃疡、咀嚼肌瘫痪情况，也未出现颅内感染、出血等严重并发症。出院后随访3~6个月，12例患侧疼痛未复发，1例明显缓解者术后2周疼痛进一步缓解；面部麻木均消失。结论 唤醒麻醉联合三维重建影像辅助下PMC治疗PTN效果良好。术中病人的主动参与，以及三维重建影像的应用，对球囊的位置和成形有重要指导意义，可以提高手术的成功率，减少术后并发症
Abstract:
Objective To explore the clinical effect of percutaneous microballoon compression (PMC) under guidance of awakening anesthesia combined with three-dimensional reconstruction imaging on the patients with primary trigeminal neuralgia (PTN). Methods The clinical data of 13 patients with PTN who underwent PMC under guidance of wake-up anesthesia combined with three-dimensional reconstruction imaging from August 2018 to December 2019 were retrospectively analyzed. Results The pain disappeared in 12 patients immediately and was relieved obviously in 1 patient after the operation. The effective rate was 100%, and the cure rate was 92.3%. Angular herpes occurred in 3 patients (23.1%) and facial hematoma occurred in 1 (7.6%) after the operation, and they recovered within 2 weeks after the operation. All the patients had slight numbness on the affected side after the operation. There were no weakened corneal reflexes, corneal ulcers, masticatory muscle paralysis, and no serious complications such as intracranial infection and bleeding. The results of follow-up (range, 3~6 months) showed no recurence and disappearence of facial numbness. Conclusion The curative effect of PMC under guidance of wake anesthesia combined with three-dimensional reconstruction imaging for PTN. The active participation of intraoperative patients and the application of three-dimensional reconstruction imaging have important guiding significance for the position and formation of the balloon, which can increase the success rate of surgery and reduce postoperative complications

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备注/Memo

备注/Memo:
（2020-05-01收稿，2020-05-30修回）通讯作者：鲁　明，E-mail：doctorlm98@163.com
更新日期/Last Update: 2020-08-11