摘要
目的评价经皮穿刺微球囊压迫三叉神经节(PMC)治疗高危原发性三叉神经痛方法的临床效果。方法回顾性分析从2001年1月至2007年12月采用Mullan方法治疗3053例原发性三叉神经痛患者中804例高危患者采用PMC技术治疗的临床资料。结果对804例患者行833次手术。术后即刻成功率为97.3%。平均随访36个月,疼痛复发率为6.8%。感觉异常的发生率为3.8%,无角膜溃疡,咀嚼肌无力约占2/3,复视占0.2%。结论PMC方法是高危原发性三叉神经痛的首选且十分有效的治疗方法之一,尤其对于疼痛累及第一支且高危的患者更有优势。
Objective To evaluate the clinical effectiveness and complications of percutaneous micro-balloon compression （PMC） of trigeminal ganglion for high risk idiopathic trigeminal neuralgia. Methods To analyze retrospectively the clinical data of 3 053 cases of idiopathic trigeminal neuralgia, of which 804 cases were in high risk, who underwent PMC from Jan.2001 to Dec. 2007 in our department. Results 833 procedures were performed on these 804 patients. The immediate effective rate was 97.3%; with recurrence rate of 6.8%, ipsilateral paresthesia incidence 3.7%; and no keratohelcosis with approximately 2/3 masticatory muscles weakness and diplopia 0.2%. Mean follow-up time was 36 months. Conclusions PMC procedure is very effective for idiopathic trigeminal neuralgia especially in high risk patients, and especially prefer for the pain involved the first branch neuralgia.
出处
《介入放射学杂志》
CSCD
2008年第8期592-594,共3页
Journal of Interventional Radiology
关键词
三叉神经痛
球囊
神经压迫
Trigeminal neuralgia
Balloon
Nerve compression
