Department of Clinical Epidemiology and Evidence-Based Medicine, The First Hospital of China Medical University, No. 155 Nanjing North Street, Shenyang, Liaoning, China.
2nd Department of Neurosurgery, The People's Hospital of Liaoning Province, 33 Wenyi Road, Shenyang, Liaoning, China.
Neurosurg Rev. 2023 Aug 29;46(1):212. doi: 10.1007/s10143-023-02124-y.
Percutaneous balloon compression is a surgical method for the treatment of trigeminal neuralgia, but one of the surgical parameters, compression time, is inconclusive. To investigate the effect of compression time during balloon compression on long-term postoperative hypoesthesia in patients with primary trigeminal neuralgia and to provide guidance on relevant parameters for balloon compression in the treatment of primary trigeminal neuralgia, we conducted a nested case-control study. Patients with primary trigeminal neuralgia treated by balloon compression from March 2013 to September 2013 were divided into case group and control group according to whether there were still symptoms of hypoesthesia at present. The relationship between the compression time of balloon compression and long-term hypoesthesia was analyzed. A total of 289 trigeminal neuralgia patients treated with percutaneous balloon compression were included in this study. Multivariate logistic regression showed that compression time was significantly correlated with long-term hypoesthesia (OR = 1.91, 95% CI = 1.13-3.23, P = 0.02), and compression time was greater than one. The risk of hypoesthesia in the long-term when the compression time is longer than 1 min is 1.93 times that of 1 min. PBC is a safe and effective surgical method, and the long-term hypoesthesia is related to the compression time during operation. The longer the compression time during operation, the greater the risk of long-term hypoesthesia.
经皮球囊压迫术是治疗三叉神经痛的一种手术方法，但手术参数之一的压迫时间尚无定论。为了研究球囊压迫过程中压迫时间对原发性三叉神经痛患者术后长期感觉减退的影响，并为球囊压迫治疗原发性三叉神经痛提供相关参数的指导，我们进行了一项嵌套病例对照研究。根据目前是否仍存在感觉减退症状，将 2013 年 3 月至 2013 年 9 月接受球囊压迫治疗的原发性三叉神经痛患者分为病例组和对照组。分析球囊压迫的压迫时间与长期感觉减退的关系。本研究共纳入 289 例接受经皮球囊压迫治疗的三叉神经痛患者。多因素 logistic 回归显示，压迫时间与长期感觉减退显著相关（OR=1.91，95%CI=1.13-3.23，P=0.02），且当压迫时间大于 1 分钟时，压迫时间较长时长期感觉减退的风险是 1 分钟时的 1.93 倍。PBC 是一种安全有效的手术方法，长期感觉减退与手术过程中的压迫时间有关。手术过程中压迫时间越长，长期感觉减退的风险越大。
