Wang Hui, Chen Chunhui, Chen Da, Li Fengsheng, Hu Shan, Ding Wenqian, Wang Jun, Chen Wanghua
Department of Neurosurgery, Pingkuang General Hospital, Pingxiang, China.
Front Surg. 2022 Feb 14;9:843982. doi: 10.3389/fsurg.2022.843982. eCollection 2022.
To summarize the technical points and clinical effects of percutaneous balloon compression (PBC) in the treatment of primary trigeminal neuralgia.
The clinical data of 13 patients with trigeminal neuralgia who received PBC from April 2020 to July 2021 were retrospectively analyzed. VAS, VRS-4 and PPI were used to evaluate the postoperative pain relief. Different postoperative complications were analyzed.
All patients had a smooth operation, the inflation volume of the balloon was 0.7 ml, the average compression time was 120 s, and there was no balloon rupture during the operation. On the day after operation, 12 patients (92.3%) had complete pain relief, and 1 patient (7.7%) was not satisfied with pain relief, but the pain disappeared 2 weeks after the operation. After operation, there were 12 patients with facial numbness in the affected side (92.3%), 3 patients with masseter muscle weakness (23.0%), 1 patient with herpes around the mouth (7.6%), and 1 patient with diplopia (7.6%).
PBC is an effective minimally invasive surgical method for the treatment of primary trigeminal neuralgia. It is suitable for the elderly and infirm people, those who cannot tolerate general anesthesia or are afraid of surgery, and patients who had undergone surgery but relapsed after surgery. However, it is necessary to pay attention to the serious facial numbness and postoperative masticatory weakness. These discomforts are generally relieved after half a year.
总结经皮穿刺球囊压迫术（PBC）治疗原发性三叉神经痛的技术要点及临床效果。
回顾性分析2020年4月至2021年7月接受PBC治疗的13例三叉神经痛患者的临床资料。采用视觉模拟评分法（VAS）、面部疼痛分级指数（VRS-4）和疼痛缓解指数（PPI）评估术后疼痛缓解情况。分析不同的术后并发症。
所有患者手术均顺利，球囊充盈量为0.7 ml，平均压迫时间为120 s，术中无球囊破裂。术后第1天，12例患者（92.3%）疼痛完全缓解，1例患者（7.7%）对疼痛缓解不满意，但术后2周疼痛消失。术后患侧面部麻木12例（92.3%），咬肌无力3例（23.0%），口周疱疹1例（7.6%），复视1例（7.6%）。
PBC是治疗原发性三叉神经痛的一种有效的微创手术方法。适用于年老体弱、不能耐受全身麻醉或惧怕手术者以及手术治疗后复发的患者。但需注意严重的面部麻木和术后咀嚼无力。这些不适一般在半年后缓解。
