Lv Wenming, Hu Wenjing, Chi Lingyi, Zhang Liangwen
Department of Neurosurgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
Department of Neurosurgery, First People's Hospital of Ningyang County, Tai'an,Shandong, China.
Neurol Neurochir Pol. 2022;56(2):156-162. doi: 10.5603/PJNNS.a2022.0017. Epub 2022 Feb 14.
We set out to explore the factors that may affect delayed disappearance (DD) of trigeminal neuralgia (TN) after percutaneous balloon compression (PBC).
PBC was undergone by 221 patients with TN (95 male, 126 female) aged 33-89 years (mean 65). Delayed disappearance after surgery occurred in 59 patients. Follow-up continued until pain disappeared.
A total of 221 patients, with an overall effective rate of 98.19%, including 59 patients with DD (26.70%), 158 patients with non-DD (71.49%), and four patients without relief, were included in this study. The time of delayed disappearance ranged from two to 30 days after surgery, with an average of c.9 days. Factors related to delayed disappearance included symptom duration (≥ 8 years), history of radiofrequency thermocoagulation, diabetes mellitus, herpes zoster, pain involving V2, and non-pear-shaped balloon. These were independent influencing factors (p < 0.05).
PBC is a safe and effective surgical method for treating TN. Delayed disappearance is a common phenomenon after surgery, and is influenced by many factors.
我们着手探究经皮球囊压迫术（PBC）后可能影响三叉神经痛（TN）延迟消失（DD）的因素。
221例年龄在33 - 89岁（平均65岁）的三叉神经痛患者（男95例，女126例）接受了经皮球囊压迫术。术后延迟消失发生在59例患者中。随访持续至疼痛消失。
本研究共纳入221例患者，总有效率为98.19%，其中延迟消失患者59例（26.70%），非延迟消失患者158例（71.49%），无效患者4例。延迟消失时间为术后2至30天，平均约9天。与延迟消失相关的因素包括症状持续时间（≥8年）、射频热凝病史、糖尿病、带状疱疹、累及V2的疼痛以及非梨形球囊。这些是独立影响因素（p < 0.05）。
经皮球囊压迫术是治疗三叉神经痛的一种安全有效的手术方法。延迟消失是术后常见现象，且受多种因素影响。
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