[1]朱冬冬,施正生,赵 鹏,等.经皮穿刺半月神经节球囊压迫术与微血管减压术治疗三叉神经痛的效果[J].医学信息,2021,34(07):119-121.[doi:10.3969/j.issn.1006-1959.2021.07.032]
　ZHU Dong-dong,SHI Zheng-sheng,ZHAO Peng,et al.The Effect of Percutaneous Puncture and Balloon Compression of the Semilunar Ganglion and Microvascular Decompression in the Treatment of Trigeminal Neuralgia[J].Medical Information,2021,34(07):119-121.[doi:10.3969/j.issn.1006-1959.2021.07.032]
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经皮穿刺半月神经节球囊压迫术与微血管减压术治疗三叉神经痛的效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年07期
页码:
119-121
栏目:
临床研究
出版日期:
2021-04-01

文章信息/Info

Title:
The Effect of Percutaneous Puncture and Balloon Compression of the Semilunar Ganglion and Microvascular Decompression in the Treatment of Trigeminal Neuralgia
文章编号:
1006-1959（2021）07-0119-03
作者:
朱冬冬; 施正生; 赵 鹏; 等
（安徽医科大学附属安庆医院神经外科，安徽 安庆 246001）
Author(s):
ZHU Dong-dong; SHI Zheng-sheng; ZHAO Peng; et al.
(Department of Neurosurgery,Anqing Hospital Affiliated to Anhui Medical University,Anqing 246001,Anhui,China)
关键词:
三叉神经痛; 球囊压迫术; 微血管减压术
Keywords:
Trigeminal neuralgia; Balloon compression; Microvascular decompression
分类号:
R745.11
DOI:
10.3969/j.issn.1006-1959.2021.07.032
文献标志码:
A
摘要:
目的 探究经皮穿刺半月神经节球囊压迫术（PBC）与微血管减压术（MVD）治疗三叉神经痛的临床效果。方法 选取2018年10月~2020年3月我院收治的三叉神经痛患者64例作为研究对象，按照治疗方法不同分为PBC组（33例）及MVD组（31例），比较两组临床疗效（BNI评分）、手术时间、住院时间、住院费用及并发症发生情况。结果 PBC组与MVD组总有效率比较（96.97% vs 96.77%），差异无统计学意义（P＞0.05）；PBC组并发症发生率高于MVD组（51.52% vs 19.35%），差异有统计学意义（P＜0.05）；MVD组住院费用高于PBC组，手术时间及住院时间长于PBC组，差异有统计学意义（P＜0.05）。结论 PBC和MVD治疗三叉神经痛的临床效果相当，但PBC术后并发症发生几率高于MVD，而MVD住院费用高、手术难度大、住院时间长，临床可根据患者实际情况，选择适宜的手术方式。
Abstract:
Objective To explore the clinical effects of percutaneous transluminal ganglion balloon compression (PBC) and microvascular decompression (MVD) in the treatment of trigeminal neuralgia.Methods A total of 64 patients with trigeminal neuralgia admitted to our hospital from October 2018 to March 2020 were selected as the research objects and according to different treatment methods divided into PBC group (33 cases) and MVD group (31 cases).The clinical efficacy (BNI score), operation time, length of hospitalization, hospitalization expenses and complications were compared between the two groups.Results The total effective rate was compared between the PBC group and the MVD group (96.97% vs 96.77%),the difference was not statistically significant (P>0.05);The incidence of complications in the PBC group was higher than that in the MVD group (51.52% vs 19.35%),the difference was statistically significant(P＜0.05);The hospitalization cost of the MVD group was higher than that of the PBC group, and the operation time and hospital stay were longer than that of the PBC group, the difference was statistically significant (P<0.05).Conclusion The clinical effects of PBC and MVD in the treatment of trigeminal neuralgia are equivalent, but the incidence of complications after PBC is higher than that of MVD. Microvascular decompression surgery is expensive, difficult to operate, and long in hospital.According to the actual situation of the patient, the appropriate surgical method can be selected clinically.

参考文献/References:

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更新日期/Last Update: 1900-01-01