Park Seong-Soon, Lee Myung-Ki, Kim Jae-Woo, Jung Jin-Young, Kim Ik-Soo, Ghang Chang-Ghu
Department of Neurosurgery, Bong Seng Memorial Hospital, Busan, Korea.
J Korean Neurosurg Soc. 2008 Apr;43(4):186-9. doi: 10.3340/jkns.2008.43.4.186. Epub 2008 Apr 20.
We assessed the surgical results of percutaneous balloon compression in 50 patients with idiopathic trigeminal neuralgia.
Fifty patients with follow-up period of more than 12 months were retrospectively analyzed. The mean follow-up period was 42 months (range, 12-82). The mean age was 65.8 years (range, 27-83). Seventeen patients (34%) had other previous surgical procedures. The balloon was inflated by injecting radio-contrast media under brief general anesthesia according to Mullan's technique. The mean inflating time was 88 seconds (range, 60-120). The whole procedure took about 20 minutes.
We reported excellent and good results in 70% of the cases, poor in 6% as annoying dysesthesia, recurrence in 16%, and 8% failure due to technical deficiencies. Forty-six patients (92%) were initially relieved of their pain. There were permanent motor weakness of the masseter muscle in 4% of patients and transitory diplopia in 8%. Neither anesthesia dolorosa nor keratitis occurred. Almost all patients (92%) were discharged postoperatively within two days.
These results indicate that balloon compression would be an effective method with acceptable morbidity, technically, it can be performed rapidly and simply in the treatment of idiopathic trigeminal neuralgia.
我们评估了50例原发性三叉神经痛患者经皮球囊压迫术的手术效果。
对50例随访期超过12个月的患者进行回顾性分析。平均随访期为42个月（范围12 - 82个月）。平均年龄为65.8岁（范围27 - 83岁）。17例患者（34%）曾接受过其他手术。根据穆兰技术，在短暂全身麻醉下通过注入放射性造影剂使球囊膨胀。平均膨胀时间为88秒（范围60 - 120秒）。整个手术过程约需20分钟。
我们报告70%的病例效果为优或良，6%为差（表现为恼人的感觉异常），16%复发，8%因技术缺陷失败。46例患者（92%）最初疼痛缓解。4%的患者出现咬肌永久性运动无力，8%出现短暂性复视。未发生痛性麻木或角膜炎。几乎所有患者（92%）术后两天内出院。
这些结果表明球囊压迫术是一种有效的方法，发病率可接受，从技术上讲，它可以在原发性三叉神经痛的治疗中快速、简单地实施。
