经皮三叉神经节球囊压迫术治疗三叉神经痛——第一部分：压力记录

Percutaneous trigeminal ganglion balloon compression for treatment of trigeminal neuralgia--part I: pressure recordings.

作者信息

Lee Shih-Tseng, Chen Jyi-Feng

机构信息

Department of Neurosurgery, Chang Gung University & Memorial Hospital, 5 Fu-Shing Street, 333 Kweishan, Taoyuan, Taiwan.

出版信息

Surg Neurol. 2003 Jan;59(1):63-6; discussion 66-7. doi: 10.1016/s0090-3019(02)00899-6.

DOI:10.1016/s0090-3019(02)00899-6

PMID:12633968

Abstract

BACKGROUND

The purpose of this study was to establish standards for the pressure monitoring system and to define the pressure pattern during percutaneous trigeminal ganglion compression for treatment of trigeminal neuralgia.

METHODS

Seventy-five patients with intractable trigeminal neuralgia who underwent percutaneous trigeminal ganglion balloon compression were included in this study. A computerized pressure system was used for pressure monitoring and analysis.

RESULTS

The procedural pressure patterns of the balloon opening pressure and the initial compression pressure were identified. On average, the balloon opening pressure was 2956 +/- 185 mm Hg in Meckel's cave (area 2) and it was much higher than that outside the foramen ovale (area 1, 2402 +/- 172 mm g), or in the posterior fossa (area 3, 2120 +/- 127 mm Hg) (p < 0.05). The average initial compression pressure in area 2 was 1204 +/- 105 mm Hg, and it was also significantly higher than those in area 1 (728 +/- 42 mm Hg) and area 3 (458 +/- 72 mm Hg) (p < 0.05).

CONCLUSIONS

The pressure monitoring system has proven to be accurate, reliable, and extremely useful for monitoring the percutaneous trigeminal ganglion balloon compression procedure.

摘要

背景

本研究的目的是建立压力监测系统的标准，并确定经皮三叉神经节压迫治疗三叉神经痛期间的压力模式。

方法

本研究纳入了75例接受经皮三叉神经节球囊压迫术治疗的顽固性三叉神经痛患者。使用计算机化压力系统进行压力监测和分析。

结果

确定了球囊开放压力和初始压迫压力的手术压力模式。平均而言，在梅克尔腔（区域2）中球囊开放压力为2956±185毫米汞柱，远高于卵圆孔外（区域1，2402±172毫米汞柱）或后颅窝（区域3，2120±127毫米汞柱）的压力（p<0.05）。区域2的平均初始压迫压力为1204±105毫米汞柱，也显著高于区域1（728±42毫米汞柱）和区域3（458±72毫米汞柱）的压力（p<0.05）。