摘要
目的评价采用经皮穿刺微球囊压迫(PMC)技术治疗双侧原发性三叉神经痛的临床效果,探讨一侧行PMC术后对侧PMC术的手术时机。方法对从2000年12月至2009年8月采用PMC技术治疗的74例双侧原发性三叉神经痛患者的临床资料进行回顾性分析。根据患者术后疼痛完全消失判定手术成功率,根据患者一侧手术后咀嚼肌运动功能的恢复情况选择对侧手术时机。结果对74例患者共行145次手术(包括3例患者术后单侧疼痛症状复发行第2次手术治疗)。术后即刻成功率为96.5%。随访1～7年,平均2.9年,疼痛复发率为2.1%。74例患者中行双侧手术者68例,其中57例在单侧进行PMC治疗后1～3个月内行对侧PMC术。结论 PMC技术是治疗双侧原发性三叉神经痛的有效方法,其中单侧进行PMC治疗后,可在术后1～3个月进行对侧的PMC手术。
Objective To evaluate the clinical effectiveness of percutaneous microsphere compression （PMC） in treating bilateral primary trigeminal neuralgia and to discuss the optimal contralateral operation time after one side trigeminal neuralgia was treated with PMC.Methods From Dec.2000 to Aug.2009 PMC was performed in 74 patients with bilateral primary trigeminal neuralgia.The clinical data were retrospectively analyzed.Based on the pain-relieving degree the therapeutic effect was evaluated.Complete disappearance of pain was regarded as the criteria of a successful procedure.According to the recovery of mastication function of the operated side,the operation time for the contralateral side was decided.Results A total of 145 PMC procedures were carried out in 74 patients,including three repeated operations in 3 cases due to recurrent pain after initial PMC.The postoperative instant effective rate was 96.5%.The recurrence rate was 2.1% during a mean follow-up period of 2.9 years （ranged 1-7 years）.Of the 74 patients,bilateral PMC was accomplished in 68,and among them 57 patients received the contralateral operation within 1-3 months after the initial procedure was finished.Conclusion Percutaneous microsphere compression is a quite effective treatment for bilateral primary trigeminal neuralgia.Usually,PMC for the contralateral side can be considered to perform in 1-3 months after the initial procedure.
出处
《介入放射学杂志》
CSCD
北大核心
2010年第6期502-504,共3页
Journal of Interventional Radiology
关键词
双侧原发性三叉神经痛
球囊压迫
手术时机
bilateral primary trigeminal neuralgia
percutaneous microsphere compression
optimal operation time
