虚拟内镜在三叉神经痛微血管减压术中的应用。

Application of Virtual Endoscopy in Microvascular Decompression of Trigeminal Neuralgia.

机构信息

Oral Surgery Department, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

出版信息

J Craniofac Surg. 2021;32(5):1696-1699. doi: 10.1097/SCS.0000000000007347.

DOI:10.1097/SCS.0000000000007347

PMID:33337712

Abstract

PURPOSE

The main purpose of this study is to evaluate the accuracy of virtual endoscopy (VE) in microvascular decompression (MVD) for the treatment of trigeminal neuralgia (TN).

METHODS

A total of 30 TN patients aged 42 to 70 years were recruited from January 2015 to January 2019, and all patients were confirmed to have severe neurovascular compression (NVC) (≥degree 2) by magnetic resonance tomographic angiography (MRTA). Preoperative MRTA and enhanced CT were performed, and the data were imported into Stlview software for VE simulation of MVD. The reliability of VE, real endoscopy, and MRTA in evaluating the degree and position of MVD in TN patients was compared.

RESULTS

Virtual endoscopy is more reliable than MRTA in evaluating the degree of NVC, but both of them are reliable in determining the position of NVC in TN patients.

CONCLUSIONS

Virtual endoscopy can be used in MVD for the treatment of TN, including preoperative diagnosis and risk evaluation, intraoperative guidance, and postoperative evaluation.

摘要

目的

本研究的主要目的是评估虚拟内镜（VE）在微血管减压术（MVD）治疗三叉神经痛（TN）中的准确性。

方法

本研究共纳入 2015 年 1 月至 2019 年 1 月期间的 30 名年龄在 42 至 70 岁之间的 TN 患者，所有患者均通过磁共振断层血管造影（MRTA）证实存在严重的神经血管压迫（NVC）（≥2 级）。所有患者均进行了术前 MRTA 和增强 CT 检查，并将数据导入 Stlview 软件中进行 MVD 的 VE 模拟。比较 VE、真实内镜和 MRTA 在评估 TN 患者 MVD 程度和位置的可靠性。