一项对39例接受经皮球囊压迫治疗的三叉神经痛患者的前瞻性研究。
A prospective study of 39 patients with trigeminal neuralgia treated with percutaneous balloon compression.
作者信息
Campos Wuilker Knoner, Linhares Marcelo N
机构信息
Institute of Neurosurgery, Florianópolis, SC, Brazil.
出版信息
Arq Neuropsiquiatr. 2011 Apr;69(2A):221-6. doi: 10.1590/s0004-282x2011000200016.
OBJECTIVE
Trigeminal neuralgia is the most common facial pain. It may be treated with percutaneous balloon compression (PBC), which is considered to be a safe and efficient procedure. The purpose of this study was to review our results with PBC and to assess the factors influencing the outcome.
METHOD
A multivariate analysis was used to study 39 patients during a 50-month postoperative period.
RESULTS
There was predominance of the female gender (54%), the right side of the face (84%) and V2V3 roots of trigeminal nerve (33%). The mean age was 62.3 years. No major complications or deaths occurred. Among all variables, postoperative hypoesthesia was the single prognostic factor capable of positively influencing the results (p=0.02). Most patients (80%) were pain-free after 50 months with a 90% satisfaction rate.
CONCLUSION
PBC was a safe procedure with low morbidity, no mortality, high approval ratings, and was an important improving on patients' quality of life.
目的
三叉神经痛是最常见的面部疼痛。它可以通过经皮球囊压迫术（PBC）进行治疗，该方法被认为是一种安全有效的手术。本研究的目的是回顾我们采用PBC的治疗结果，并评估影响治疗效果的因素。
方法
采用多变量分析对39例患者进行了为期50个月的术后研究。
结果
女性占主导（54%），面部右侧（84%）以及三叉神经V2V3神经根（33%）居多。平均年龄为62.3岁。未发生重大并发症或死亡。在所有变量中，术后感觉减退是唯一能够对治疗结果产生积极影响的预后因素（p = 0.02）。大多数患者（80%）在50个月后疼痛消失，满意率为90%。
结论
PBC是一种安全的手术，发病率低，无死亡率，认可度高，对改善患者生活质量具有重要意义。
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