摘要
目的针对微血管减压(MVD)术后复发性三叉神经痛(TN)患者通过经皮穿刺球囊压迫半月节治疗的效果分析。方法筛选2021年6月至2022年8月98例微血管减压术后TN患者予以研究,依照治疗方式的不同分组,参照组(n=49)提供微血管减压术,研究组(n=49)提供经皮穿刺球囊压迫半月节治疗,对比治疗效果、手术指标、炎性因子与生活质量。结果研究组治疗有效率高于参照组,差异具有统计学意义(P<0.05);研究组手术时间、住院时间、术后疼痛复发时间短于参照组,差异均有统计学意义(P<0.05);治疗前两组炎性因子水平差异无统计学意义(P>0.05),治疗后研究组炎性因子水平低于参照组,差异具有统计学意义(P<0.05);治疗前两组生活质量评分差异无统计学意义(P>0.05),治疗后3个月、12个月对比,研究组高于参照组,差异具有统计学意义(P<0.05)。结论相比较单纯的微血管减压术治疗,经皮穿刺球囊压迫半月节治疗效果更为显著,值得用于MVD术后复发性TN患者。
Objective To explore the effect of percutaneous micro-balloon compression(PBC)of the ganglion in the treatment of recurrent neuralgia(TN)patients following microvascular decompression(MVD)surgery.Methods A study conducted on 98 patients with TN who underwent microvascular decompression surgery from June 2021 to August 2022.According to the different surgical modes,patients were assigned to reference group(n=49)and study group(n=49).MVD was applied in the reference group;PBC on the articular crescent was performed in the study group.The treatment outcomes,operation indicators,inflammatory factors and life quality were compared between the two groups.Results The total effective rates in the study group were significantly higher than reference group,and the difference was statistically significant(P<0.05).The operation time,hospital stays and postoperative pain duration in the study group were significantly shorter than reference group,and the difference was statistically significant(P<0.05).There were no statistically differences in the quality of life scores between the two groups before treatment(P>0.05).After treatment,the levels of inflammatory factors in the study group were lower than those in the reference group(P<0.05).There were no statistically significant differences in the life quality scores between the two groups before treatment(P>0.05).After 3 month and 12 month of treatment,the life quality scores in the study group were significantly higher than reference group.Conclusion Compared with simple microvascular decompression,the percutaneous micro-balloon compression has a more significant effect and is worth promoting for the treatment of recurrent TN patients after MVD surgery.
作者
孟言言
杨彩侠
张红
MENG Yanyan;YANG Caixia;ZHANG Hong(Department of Neurosurgery,Shangqiu First People's Hospital,Shangqiu Henan 476000,China)
出处
《临床研究》
2024年第2期56-59,共4页
Clinical Research
关键词
三叉神经痛
微血管减压
经皮穿刺球囊压迫半月节
复发
trigeminal neuralgia
microvascular decompression
percutaneous micro-balloon compression of the semilunar segment
recurrence
