杂交手术室DSA系统辅助三维重建技术在三叉神经球囊压迫术中的应用

Clinical application of DSA-assisted three-dimensional reconstruction technique in balloon compression of the trigeminal nerve in hybrid operating room

目的初步探讨杂交手术室DSA系统辅助三维重建技术在三叉神经微创穿刺球囊压迫术中的临床应用意义。方法对2019年1月—2021年1月采用DSA系统辅助三维重建技术经皮穿刺球囊压迫术治疗三叉神经痛的15例临床资料进行回顾性分析,评估患者穿刺次数、术中球囊形态、观察患者术后临床有效率以及并发症的发生率。结果14例患者穿刺首次成功,1例患者穿刺2次,穿刺首次成功率93.3%,术中球囊呈梨形13例,类梨形2例,术后症状完全消失13例,明显缓解2例,无其他颅神经损伤并发症,无颅内出血和颅内感染等并发症。结论DSA系统辅助三维重建技术能有效辅助精准穿刺,提高手术成功率。

Objective To preliminarily investigate the clinical significance of digital subtraction angiography(DSA)-assisted three-dimensional reconstruction technique in minimally invasive percutaneous balloon compression of the trigeminal nerve in hybrid operating room.Methods The clinical data of 15 patients with trigeminal neuralgia who were treated by percutaneous balloon compression with DSA-assisted three-dimensional reconstruction technique from January 2019 to January 2021 were retrospectively analyzed.The number of punctures,intraoperative balloon shape,postoperative clinical response rate,and incidence of complications were evaluated.Results Fourteen patients were punctured successfully for the first time,and 1 patient was punctured twice,with the first success rate of puncture of 93.3%.During the operation,13 patients had pear-shaped balloons,and 2 patients had approximately pear-shaped balloons.Thirteen patients had completely disappeared symptoms after the operation,and 2 patients had significant relief.No complications of other cranial nerve injuries,intracranial hemorrhage,and intracranial infection occurred.Conclusions DSA-assisted three-dimensional reconstruction technique can effectively assist precise puncture to improve the success rate of surgery,and has important clinical significance.