[1]莫凯,郭贤放,姚鑫,等.术中球囊扩张容积-Meckel腔体积比值与PMC治疗原发性三叉神经痛疗效的关系[J].中国临床神经外科杂志,2023,28(05):311-313317.[doi:10.13798/j.issn.1009-153X.2023.05.006]
　MO Kai,GUO Xian-fang,YAO Xin,et al.Relationship between ratio of intraoperative balloon dilatation volume to Meckel volume and surgical efficacy of percutaneous microballoon compression for patients with primary trigeminal neuralgia[J].,2023,28(05):311-313317.[doi:10.13798/j.issn.1009-153X.2023.05.006]
点击复制

术中球囊扩张容积-Meckel腔体积比值与PMC治疗原发性三叉神经痛疗效的关系()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
28
期数:
2023年05期
页码:
311-313317
栏目:
论著
出版日期:
2023-05-31

文章信息/Info

Title:
Relationship between ratio of intraoperative balloon dilatation volume to Meckel volume and surgical efficacy of percutaneous microballoon compression for patients with primary trigeminal neuralgia
文章编号:
1009-153X（2023）05-0311-03
作者:
莫凯; 郭贤放; 姚鑫; 廖声潮
530007南宁，广西医科大学第二附属医院神经外科（莫凯、郭贤放、姚鑫、廖声潮）
Author(s):
MO Kai;  GUO Xian-fang;  YAO Xin;  LIAO Sheng-chao
Department of Neurosurgery, The Second Affiliated Hospital of Guangxi Medical University, Nanning 530007, China
关键词:
原发性三叉神经痛; 经皮穿刺微球囊压迫术; 术中球囊扩张容积; Meckel腔体积; 疗效
Keywords:
Primary trigeminal neuralgia;  Percutaneous microballoon compression;  Intraoperative balloon expansion volume;  Meckel cavity volume;  Curative effect
分类号:
A
DOI:
10.13798/j.issn.1009-153X.2023.05.006
文献标志码:
R745.1;R651.1+1
摘要:
目的 探讨术中球囊扩张容积-Meckel腔体积比值与经皮穿刺微球囊压迫术（PMC）治疗原发性三叉神经痛（PTN）疗效的关系。方法 回顾性分析2019年3月至2021年8月PMC治疗的41例PTN的临床资料。术前MRI三维重建扫描测定Meckel腔体积，计算术中球囊扩张容积与Meckel腔体积的比值。术后随访6~18个月，末次随访参考巴罗德神经病学研究所疼痛预后分级（BNI）评估疗效，其中Ⅰ~Ⅱ级为有效，Ⅲ~Ⅴ级为无效。结果 末次随访，有效31例，无效10例。有效组和无效组Meckel腔体积（0.43±0.20 cm3 vs. 0.51±0.22 cm3）、术中球囊扩张容积（0.61±0.23 ml vs. 0.49±0.20 ml）均无统计学差异（P>0.05），而有效组术中球囊扩张容积与Meckel腔体积的比值（1.46±0.26）明显大于无效组（0.98±0.12；P<0.05）。结论 通过术前测量Meckel腔体积，以球囊扩张容积-Meckel腔体积比值的有效区间为参考依据，术中对球囊扩张容积进行把控，可提高PMC治疗PTN的疗效。
Abstract:
Objective To investigate the relationship between the ratio of intraoperative balloon dilatation volume to Meckel volume and the surgical efficacy of percutaneous microballoon compression (PMC) for patients with primary trigeminal neuralgia (PTN). Methods The clinical data of 41 patients with PTN treated with PMC from March 2019 to August 2021 were retrospectively analyzed. The volume of Meckel cavity was measured by MRI three-dimensional reconstruction scanning before surgery, and the ratio of intraoperative balloon expansion volume to Meckel cavity volume was calculated. The patients were followed up for 6~18 months. At the last follow-up, the Barod Neurological Institute Pain Prognosis Scale (BNI) was used to evaluate the efficacy, and grades Ⅰ~Ⅱ were effective and grades Ⅲ~Ⅴ were ineffective. Results At the last follow-up, 31 patients were effective and 10 patients were ineffective. There were no significant differences in Meckel cavity volume (0.43±0.20 cm3 vs. 0.51±0.22 cm3) and intraoperative balloon dilation volume (0.61±0.23 ml vs. 0.49±0.20 ml) between effective and ineffective groups (P>0.05). The ratio of balloon expansion volume to Meckel cavity volume in effective group (1.46±0.26) was significantly higher than that (0.98±0.12) in ineffective group (P<0.05). Conclusions By measuring the volume of Meckel cavity before surgery and taking the effective interval of the ratio of balloon dilated volume to Meckel cavity volume as reference, intraoperative control of balloon dilated volume can improve the efficacy of PMC in the treatment of PTN.

参考文献/References:

[1]Mullan S, Lichtor T. Percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia [J]. J Neuro-surg, 1983, 59(6): 1007-1012.
[2]马　逸，李岩峰，邹建军，等. 经皮微球囊压迫治疗三叉神经痛[J]. 中华神经外科杂志，2003，19（4）：311-312.
[3]Williams PL, Bannister LH, Berry MM, et al. Gray's Anatomy. The Anatomical Basis of Medicine and Surgery,38th ed [M]. New York: Churchill Livingstone, 1995. 1909-1935.
[4]Brown JA, Hoeflinger B, Long PB, et al. Axon and ganglion cell injury in rabbits after percutaneous trigeminal balloon compression [J]. Neurosurgery, 1996, 38(5): 996-1003.
[5]顾　斌，张庆海，金星星，等. CT及MRI三维重建辅助经皮穿刺半月节球囊压迫术治疗原发性三叉神经痛[J]. 南京医科大学学报（自热科学版），2019，39（11）：1643-1645.
[6]彭逸龙，伍　益，谢正元，等. 个体化3D打印导板在三叉神经球囊压迫术中的应用[J]. 中国微侵袭神经外科杂志，2020，25（7）：320-321.
[7]陈淑萍，丁卫华，汪　荣，等. 神经导航下半月节微球囊压迫术治疗三叉神经痛的临床研究[J]. 中华神经外科杂志，2013，29（10）：1038-1041.
[8]马　峻，李勇刚，陈　心，等. 机器人辅助经皮球囊压迫术治疗三叉神经痛的临床分析[J]. 中华神经外科杂志，2021，37（9）：894-898.
[9]俞文华. 影响经皮穿刺球囊压迫术治疗三叉神经痛疗效的因素[J]. 实用医学杂志，2014，43（21）：3379-3380.
[10]Lee ST, Chen JF. Percutaneous trigeminal ganglion balloon compression for treatment of trigeminal neuralgia，part II: results related to compression duration [J]. Surg Neurol, 2003, 60(2): 149-153.
[11]李春辉，朱　骁，陈　涛，等. 经皮穿刺球囊压迫术球囊压力与三叉神经痛疗效和并发症的相关性研究[J]. 中国微侵袭神经外科杂志，2021，25（11）：489-492.
[12]何睿林，韦艳红，胡　鑫，等. 不同压迫时长对经皮穿刺球囊压迫术治疗原发性三叉神经痛疗效的影响[J]. 中华疼痛学杂志，2021，17（1）：28-35.
[13]王　蕊，唐玉茹，陈付强. 经皮穿刺DSA/CT引导下三叉神经节微球囊短时间、重复压迫术治疗原发性三叉神经痛患者的疗效[J]. 中华疼痛学杂志，2020，16（1）：36-42.

相似文献/References:

[1]蒋　伟　孙守家　高　攀　张晓静　舒　凯　雷　霆　李　龄.异常椎基底动脉压迫致三叉神经痛的临床特点及显微手术治疗（附16例分析）[J].中国临床神经外科杂志,2016,(02):69.[doi:10.13798/j.issn.1009-153X.2016.02.002]
　JIANG Wei,SUN Shou-jia,GAO Pan,et al.Clinical features and microsurgical treatment of trigeminal neuralgia caused by abnormal vertebrobasilar artery compression (report of 16 cases)[J].,2016,(05):69.[doi:10.13798/j.issn.1009-153X.2016.02.002]
[2]荣道建　何　颖　杨晓健　赵　骞　赵俊伟　杨　峰.三维时间飞跃法磁共振血管成像在原发性三叉神经痛诊治中的临床价值[J].中国临床神经外科杂志,2015,(04):241.[doi:10.13798/j.issn.1009-153X.2015.04.018]
[3]何少宇,李　玉,李　杨,等.原发性三叉神经痛微血管减压术中岩静脉的处理[J].中国临床神经外科杂志,2016,(12):747.[doi:10.13798/j.issn.1009-153X.2016.12.005]
　HE Shao-yu,LI Yu,LI Yang,et al.Management of petrosal vein in microvascular decompression for primary trigeminal neuralgia[J].,2016,(05):747.[doi:10.13798/j.issn.1009-153X.2016.12.005]
[4]耿亮,王义宝,王占福.微血管减压术治疗原发性三叉神经痛126例[J].中国临床神经外科杂志,2017,(02):95.[doi:10.13798/j.issn.1009-153X.2017.02.011]
[5]齐　猛 孙　澎　陆　夏 张　敏 梁建涛.术前3D-CISS联合3D-TOF序列MRI判断原发性三叉神经痛责任血管的效果[J].中国临床神经外科杂志,2017,(10):684.[doi:10.13792017.09/j.issn.1009-153X.2017.10.004]
　QI Meng,SUN Peng,LU Xia,et al.Values of 3D-CISS combined with 3D-TOF sequences MRI to diagnosis of vessels responsible for primary trigeminal neuralgia[J].,2017,(05):684.[doi:10.13792017.09/j.issn.1009-153X.2017.10.004]
[6]罗　波 范润金 张　逵 尚　彬 刘　毅 唐晓平.全程围套式微血管减压术治疗原发性三叉神经痛的临床分析[J].中国临床神经外科杂志,2017,(10):687.[doi:10.13792017.09/j.issn.1009-153X.2017.10.005]
　LUO Bo,FAN Rui-jin,ZHANG Kui,et al.Clinical analysis of the treatment of primary trigeminal neuralgia by whole-range encircling method of microvascular decompression[J].,2017,(05):687.[doi:10.13792017.09/j.issn.1009-153X.2017.10.005]
[7]郑　玺.微血管减压术治疗原发性三叉神经痛65例[J].中国临床神经外科杂志,2018,(06):429.[doi:10.13798/j.issn.1009-153X.2018.06.016]
[8]朱　浩　华泽权　薛聪聪　张　力.经颌下-卵圆孔入路穿刺射频热凝治疗三叉神经痛[J].中国临床神经外科杂志,2018,(07):482.[doi:10.13798/j.issn.1009-153X.2018.07.010]
　ZHU Hao,HUA Ze-quan,XUE Cong-cong,et al.Radiofrequnency thermocoagulation via puncture for primary trigeminal neuralgia[J].,2018,(05):482.[doi:10.13798/j.issn.1009-153X.2018.07.010]
[9]李雷州,刘玉学,牛瑞堂,等.CT引导下三叉神经周围支射频热凝术联合阿霉素介入治疗原发性三叉神经痛[J].中国临床神经外科杂志,2018,(10):673.[doi:10.13798/j.issn.1009-153X.2018.10.010]
　LI Lei-zhou,LIU Yu-xue,NIU Rui-tang,et al.Interventional treatment of idiopathic trigeminal neuralgia with radiofrequency thermocoagulation combined with adriamycin under CT guidance[J].,2018,(05):673.[doi:10.13798/j.issn.1009-153X.2018.10.010]
[10]侯前亮.“补片悬吊法”微血管减压术治疗原发性三叉神经痛 的疗效观察[J].中国临床神经外科杂志,2018,(12):810.[doi:10.13798/j.issn.1009-153X.2018.12.017]
[11]詹维强,姜士炜,寿纪新.3D打印个体化穿刺导板辅助经皮穿刺微球囊压迫术治疗原发性三叉神经痛[J].中国临床神经外科杂志,2024,29(03):139.[doi:10.13798/j.issn.1009-153X.2024.03.003]
　ZHAN Wei-qiang,JIANG Shi-wei,SHOU Ji-xin.Safety and efficacy of percutaneous balloon compression assisted by a 3D printed personalized guide plate for patients with primary trigeminal neuralgia[J].,2024,29(05):139.[doi:10.13798/j.issn.1009-153X.2024.03.003]

备注/Memo

备注/Memo:
（2022-05-19收稿，2022-12-16修回）
基金项目：广西壮族自治区卫健委自筹经费科研课题（Z20210113）；广西壮族自治区卫健委自筹经费科研课题（Z20170093）
通讯作者：廖声潮，E-mail：850392734@qq.com
更新日期/Last Update: 2022-05-31