| 二次经皮穿刺球囊压迫治疗初次球囊术后复发性三叉神经痛 |
| 投稿时间：2015-09-08 修订日期：2015-10-13 点此下载全文 |
| 引用本文：沈永锋,王鼎,杨定博,杜垣锋,俞文华.二次经皮穿刺球囊压迫治疗初次球囊术后复发性三叉神经痛[J].医学研究杂志,2016,45(4):69-72 |
| DOI：
10.11969/j.issn.1673-548X.2016.04.019 |
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| 基金项目:浙江省科技计划项目(2013C33092);杭州市卫生科技计划项目(2013B13) |
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| 中文摘要:目的 探讨二次经皮穿刺球囊压迫(percutaneous balloon compression,PBC)治疗初次PBC术后复发性三叉神经痛的临床疗效。方法 回顾性分析了64例采用二次PBC治疗初次PBC术后复发性三叉神经痛患者的临床资料及疗效。结果 术后疼痛即刻缓58例(90.6%),偶有疼痛但不需服药者3例(4.7%),疼痛未消失但服药可控制者2例(3.1%),较术前有所缓解但服药不能控制者1例(1.6%),整体有效率为95.3%。随访至今(2~63个月,平均随访时间2年以上),6例轻度复发,2例重度复发,2年复发率12.5%。术后患侧面部麻木60例(93.8%),咀嚼肌乏力36例(56.3%),口角疱疹29例(45.3%),无角膜溃疡、蛛网膜出血及其他严重并发症。结论 二次PBC治疗初次PBC术后复发的三叉神经痛具有风险小、疗效好、复发率低的优点,是其较理想手术方案选择。 |
| 中文关键词:球囊压迫 三叉神经痛 复发 |
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| Percutaneous Balloon Compression of Trigeminal Ganglion for Recurrent Trigeminal Neuralgia after Percutaneous Balloon Compression |
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| Abstract:Objective To evaluate the clinical effects of the patients with recurrent trigeminal neuralgia after percutaneous balloon compression treated with percutaneous balloon compression of trigeminal ganglion. Methods A total of 64 patients underwent a second PBC, and a retrospective study of the clinical data of these patients was performed. Results After PBC, pain relief was immediate in 58(90.6%) patients, and 3(4.7%) patient had some pain and need no medication, 2(3.1%)patients had some pain that could be controlled with medication. The total efficiency was 95.3%. With a mean length of follow-up of approximately 2 years after surgery, 6 cases had mild recurrence, 2 cases suffered severe recurrence. Postoperative morbidity included common side effects such as facial numbness in 60(93.8%) patients, masseter muscle weakness in 36(56.3%) patients, herpes in 29(45.3%) patients. No corneal anesthesia, subarachnoid hemorrhage or other serious surgical complications occurred in this study. Conclusion Repeated PBC is a minimally invasive, safe and low recurrent procedure which takes as an attractive choice for recurrent trigeminal neuralgia after PBC. |
| keywords:Balloon compression Trigeminal neuralgia Recurrent |
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