经皮球囊压迫术的囊外囊现象为三叉神经第三分支提供了充分的压迫：一项回顾性研究。

The extracapsular capsule phenomenon of percutaneous balloon compression provides adequate compression of the third branch of the trigeminal nerve: a retrospective study.

机构信息

Department of Pain Medicine, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Henan Province International Joint Laboratory of Pain, Cognition and Emotion, Zhengzhou, Henan Province, China.

出版信息

Neurosurg Rev. 2024 Aug 28;47(1):499. doi: 10.1007/s10143-024-02711-7.

DOI:10.1007/s10143-024-02711-7

PMID:39196456

Abstract

BACKGROUND

Percutaneous balloon compression (PBC) is an effective, low-cost, and simple treatment for primary trigeminal neuralgia (TN). However, PBC has poor efficacy and no better solution for the third branch (V3) of TN.

METHODS

Clinical data of 52 patients with trigeminal neuralgia treated with PBC were retrospectively analyzed. Postoperative numbness of the patient was evaluated by facial numbness at the Barrow Neurological Institute (BNI-N). The main observation was the incidence of higher numbness in the V3 than in the other two branches or equally strong numbness in the three branches in the immediate postoperative period.

RESULTS

The efficacy values in the pear-shaped balloon group at the first postoperative day (T), the first month (T), in the third month (T), and the sixth month (T) were 96.7%, 93.3%, 93.3%, and 90%, respectively, and 1 patient (3.3%) had recurrence. The efficacy value for the extracapsular capsule group was 95.5% at all times and there were no patients with recurrence within 6 months after surgery. In the immediate postoperative period, the effective compression rate of V3 in the pear-shaped balloon group was 43.3%, and 86.4% in the extracapsular capsule group (P = 0.020). At six months of follow-up, the effective compression rate of V3 was higher in the extracapsular capsule group than in the pear-shaped balloon group.

CONCLUSIONS

The riveted structure of the extracapsular capsule can effectively compress V3, thus performing PBC with a balloon shaped as an extracapsular capsule is a new, effective, and safe treatment option for TN V3.

TRIAL REGISTRATION

ClinicalTrials.gov ChiCTR2300067313.

摘要

背景

经皮球囊压迫术（PBC）是治疗原发性三叉神经痛（TN）的一种有效、低成本、简单的治疗方法。然而，PBC 对第三支（V3）TN 的疗效较差，没有更好的解决方案。

方法

回顾性分析了 52 例接受 PBC 治疗的三叉神经痛患者的临床资料。通过巴罗神经研究所（BNI-N）面部麻木评估患者术后麻木情况。主要观察指标为术后即刻 V3 分支麻木程度高于其他两支或三支麻木程度相等。

结果

梨形球囊组术后第 1 天（T）、第 1 个月（T）、第 3 个月（T）和第 6 个月（T）的疗效值分别为 96.7%、93.3%、93.3%和 90%，1 例（3.3%）复发。包膜外囊组的疗效值在所有时间均为 95.5%，术后 6 个月内无复发。术后即刻，梨形球囊组 V3 有效压迫率为 43.3%，包膜外囊组为 86.4%（P=0.020）。随访 6 个月时，包膜外囊组 V3 的有效压迫率高于梨形球囊组。