经皮微球囊压迫三叉神经半月节在三叉神经痛中的应用效果

Application Effect of Percutaneous Microballoon Compression on Trigeminal Meniscus in Trigeminal Neuralgia

目的:探讨经皮微球囊压迫三叉神经半月节在三叉神经痛中的临床效果。方法:选择2020年3月-2022年2月台山市人民医院疼痛科和中南大学湘雅二医院收治的83例三叉神经痛患者,采用随机数字表法分为对照组41例与观察组42例。对照组采用三叉神经半月节射频热凝术治疗,观察组采用经皮微球囊压迫三叉神经半月节治疗。比较两组临床指标、术后疗效、疼痛评分、并发症发生情况,随访1个月比较两组术后复发例数。结果:观察组手术时间短于对照组(P<0.05),两组住院时间、住院费用比较,差异均无统计学意义(P>0.05);两组术后总有效率比较,差异无统计学意义(P>0.05);两组术前视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05),观察组麻醉苏醒后、术后第1天、术后1个月VAS评分均低于对照组,差异均有统计学意义(P<0.05);观察组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05),两组复发率比较,差异无统计学意义(P>0.05)。结论:经皮微球囊压迫三叉神经半月节治疗三叉神经痛效果与三叉神经半月节射频热凝术虽无明显差异,但可降低患者术后VAS评分与并发症发生率,值得临床进一步应用与探讨。

Objective: To investigate the clinical effect of percutaneous microballoon compression on trigeminal semilunar ganglion in trigeminal neuralgia. Method: A total of 83 patients with trigeminal neuralgia who were admitted to the Pain Department of Taishan People’s Hospital and the Second Xiangya Hospital of Central South University from March 2020 to February 2022 were selected and divided into the control group of 41 cases and the observation group of 42 cases according to the random number table method. The control group received radiofrequency thermocoagulation of trigeminal meniscus to treated, the observation group was treated with percutaneous microballoon compression of the trigeminal nerve semilunar ganglion. The clinical indicators,postoperative efficacy, pain score, and complications were compared between the two groups, the number of postoperative recurrences was compared between the two groups after 1 month of follow-up. Result: The operation time of observation group was shorter than that of the control group(P<0.05), there were no significant differences in hospital stay and hospital expenses between the two groups(P>0.05);there was no significant difference in the total effective rate between the two groups(P>0.05);there was no significant difference in preoperative visual analog scale(VAS) scores between the two groups(P>0.05), the VAS scores of the observation group after anesthesia recovery,the first day after surgery and the first month after surgery were lower than those of the control group, with statistical significances(P<0.05);the total incidence of postoperative complications in the observation group was lower than that in the control group, the difference was statistically significant(P<0.05), but there was no statistically significant difference in the recurrence rate between the two groups(P>0.05). Conclusion: Although there is no significant difference in the efficacy of percutaneous microballoon compression on the trigeminal meniscus in the treatment of trigeminal neuralgia and radiofrequency thermocoagulation of the trigeminal meniscus, however, it can reduce the postoperative VAS score and complication rate of patients, which is worthy of further clinical application and discussion.