[1]邓少勇,罗似亮,吾太华,等.C-臂引导下经皮穿刺球囊压迫术治疗原发性三叉神经痛的疗效分析[J].中国临床神经外科杂志,2023,28(06):372-374.[doi:10.13798/j.issn.1009-153X.2023.06.006]
　DENG Shao-yong,LUO Shi-liang,WU Tai-hua,et al.Clinical efficacy of C-arm guided percutaneous balloon compression for patients with primary trigeminal neuralgia[J].,2023,28(06):372-374.[doi:10.13798/j.issn.1009-153X.2023.06.006]
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C-臂引导下经皮穿刺球囊压迫术治疗原发性三叉神经痛的疗效分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
28
期数:
2023年06期
页码:
372-374
栏目:
论著
出版日期:
2023-06-30

文章信息/Info

Title:
Clinical efficacy of C-arm guided percutaneous balloon compression for patients with primary trigeminal neuralgia
文章编号:
1009-153X（2023）06-0372-03
作者:
邓少勇; 罗似亮; 吾太华; 张明亮; 侯浩波; 许锡镇; 马赞; 代小程
510510广州，广东三九脑科医院神经外科（邓少勇、罗似亮、吾太华、张明亮、侯浩波、许锡镇、马赞、代小程）
Author(s):
DENG Shao-yong;  LUO Shi-liang;  WU Tai-hua;  ZHANG Ming-liang;  HOU Hao-bo;  XU Xi-zhen;  MA Zan;  DAI Xiao-cheng
Department of Neurosurgery, Guangdong 999 Brain Hospital, Guangzhou 510510, China
关键词:
原发性三叉神经痛; 经皮穿刺球囊压迫术; C-臂引导; 疗效
Keywords:
Primary trigeminal neuralgia;  Percutaneous ballon compression;  C-arm;  Clinical efficacy
分类号:
A
DOI:
10.13798/j.issn.1009-153X.2023.06.006
文献标志码:
R 745.1+1; R 651.1+1
摘要:
目的 探讨C-臂引导下经皮球囊压迫术（PBC）治疗原发性三叉神经痛（PTN）的疗效。方法 回顾性分析2018年8月到2021年12月PBC治疗的49例PTN的临床资料。结果 49例手术时间平均（75.71±30.33）min；住院时间平均（3.78±1.12）d。术中球囊呈“梨形”43例、椭圆形5例、哑铃型1例；充盈体积0.3~1.0 ml，平均（0.59±0.16）ml。术后疼痛即刻缓解为100%。术后随访4~44个月，平均（21.18±11.60）个月；末次随访显示，治愈39例，显效4例，有效2例，无效4例；治愈率79.6%，总体有效率为91.8%。随访期间9例复发，复发率为18.4%。术中球囊呈梨形病人治愈率（88.4%，38/43）明显高于术中球囊呈其他形态的病人（16.7%，1/6；P<0.05）。术后出现面部麻木病人的治愈率（88.6%，39/44）明显高于未出现面部麻木的病人（0%；P<0.05）。结论 PBC治疗PTN的近期疗效显著，术中球囊呈“梨形”和术后出现面部麻木提示病人可获得良好疗效。
Abstract:
Objective To investigate the effectiveness of C-arm guided percutaneous balloon compression (PBC) for patients with primary trigeminal neuralgia (PTN). Methods The clinical data of 49 patients with PTN treated with PBC from August 2018 to December 2021 were retrospectively analyzed. Results The average operation time was (75.71±30.33) min. The average length of hospitalization was (3.78±1.12) d. The balloon was transformed into pear shape in 43 patients, elliptical in 5 and dumbbell in 1 during the operation. The filling volume of the balloon ranged from 0.3 ml to 1.0 ml, with an average of (0.59±0.16) ml. The rate of pain relief was 100% immediately after operation. The follow-up ranged from 4 months to 44 months, with an average of (21.18±11.60) months. The last follow-up showed that 39 patients were cured, 4 patients were significantly effective, 2 patients were effective and 4 patients were ineffective. The cure rate was 79.6% and the overall effective rate was 91.8%. During the follow-up period, 9 patients relapsed, and the recurrence rate was 18.4%. The cure rate (88.4%, 38/43) of the patients with pear-shaped balloon during the operation was significantly higher than that of the patients with other types of balloon (16.7%, 1/6; P<0.05). The cure rate of patients with postoperative facial numbness (88.6%, 39/44) was significantly higher than that of patients without facial numbness (0%; P<0.05). Conclusions C-arm guided PBC is effective in the treatment of patients with PTN. The patients with the balloon transforming into pear shape during the operation and postoperative facial numbness can obtain good outcomes.

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备注/Memo

备注/Memo:
（2022-06-05收稿，2022-07-21修回）
通讯作者：吾太华，E-mail：thzj01@163.com
更新日期/Last Update: 2022-06-30