[1]董韬,马逸,曲国辉,等.微球囊压迫半月节治疗三叉神经痛临床疗效分析 [J].介入放射学杂志,2020,29(02):165-168.
　DONG Tao,MA Yi,QU Guohui,et al.Micro-balloon compression of trigeminal ganglion for the treatment of trigeminal neuralgia: clinical analysis of curative efficacy[J].journal interventional radiology,2020,29(02):165-168.
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微球囊压迫半月节治疗三叉神经痛临床疗效分析

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年02
页码:
165-168
栏目:
非血管介入
出版日期:
2020-03-14

文章信息/Info

Title:
Micro-balloon compression of trigeminal ganglion for the treatment of trigeminal neuralgia: clinical analysis of curative efficacy
作者:
董韬; 马逸; 曲国辉; 冯思哲
Author(s):
DONG Tao;  MA Yi;  QU Guohui;  FENG Sizhe.
Department of Neurosurgery, Brain Hospital of Ansteel Group General Hospital, Anshan, Liaoning Province 114008, China
关键词:
【关键词】　三叉神经痛; 经皮穿刺; 微球囊压迫
文献标志码:
A
摘要:
【摘要】　目的?总结分析经皮穿刺微球囊压迫术治疗原发性三叉神经痛的技术要点和临床效果。方法?回顾性分析自2016 年4月至 2019 年1月接受经皮穿刺微球囊压迫术治疗的53例三叉神经痛患者的临床资料。采用VRS、VAS-4和PPI疼痛量化表评估术后疗效和出院后的随访疗效。VAS≤10、VRS 0级或PPI 0级为疼痛完全缓解，VAS 10～40、VRS 1～2级或PPI 1～2级为疼痛满意缓解。
结果?本组患者疼痛受累最广泛的是上颌支，45例，术前疼痛病史20 d～32年，平均2.24年。7例曾接受过微球囊压迫术，2例曾接受过微血管减压术；术中球囊平均充盈容积0.702 mL,平均压迫时间125 s，3例术中发生球囊破裂。43例（81.1%）术后疼痛完全缓解，8例疼痛满意缓解，2例疼痛缓解不满意，总有效率为96.2%；术后患侧面部有麻木感50例（94.3%），咬肌乏力12例（22.6%），口周疱疹5例（9.4％），复视1例（1.9%），头痛5例（9.4%）。平均随访时间19.9个月；术后1年仍保持疼痛完全缓解者有30例（83.3%）；至末次随访，本组整体的疼痛完全缓解率为71.7%（33例），疼痛满意缓解率24%（12例），总有效率95.7%；27例（57.4%）患者存在持续性的面部麻木感，其中6例麻木感严重影响日常生活并伴有同侧咬肌萎缩或面瘫。期间1例患者复发，之后又接受了2次球囊压迫术。结论?经皮穿刺微球囊压迫术是治疗原发性三叉神经痛有效的微创手术方法，对于高龄体弱、不能耐受全麻手术或畏惧手术者更具有治疗优势，但也不能忽视伴发的严重的面部麻木感。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：2019-04-01）
（本文编辑：俞瑞纲）
更新日期/Last Update: 2020-03-13