经皮球囊压迫术与微血管减压术治疗三叉神经痛的临床疗效比较

张业森; 尚毓淳; 姜之全; 苏贺先; 娄飞云; 赵永轩

doi:10.7619/jcmp.20213084

经皮球囊压迫术与微血管减压术治疗三叉神经痛的临床疗效比较

Clinical effect of percutaneous balloon compression versus microvascular decompression in treatment of trigeminal neuralgia

摘要

摘要:
目的探讨经皮穿刺球囊压迫术(PBC)与微血管减压术(MVD)治疗三叉神经痛的优缺点及近期疗效。
方法选取30例三叉神经痛患者，其中15例行PBC治疗(PBC组), 15例行MVD治疗(MVD组)。比较2组患者基本情况和住院总费用、手术时间、住院总时间以及术后并发症发生率; 评估2组术后疼痛程度。
结果 PBC组住院总费用低于MVD组，手术时间及住院总时间短于MVD组，差异有统计学意义(P < 0.05); PBC组患者平均年龄高于MVD组，差异有统计学意义(P < 0.05)。2组术后疼痛缓解率比较，差异无统计学意义(P>0.05)。MVD组术后面部麻木发生率低于PBC组，差异有统计学意义(P < 0.05)。
结论 MVD和PBC术后近期疗效相似。MVD术后并发症发生率低于PBC, PBC更适用于老年患者。

Abstract:
Objective To investigate the advantages and disadvantages of percutaneous balloon compression (PBC) and microvascular decompression (MVD) in treatment of trigeminal neuralgia and their short-term efficacy.
Methods Thirty patients with trigeminal neuralgia were selected. Fifteen patients received PBC treatment (PBC group) and fifteen patients received MVD treatment (MVD group). The basic information, total hospitalization cost, operation time, total hospitalization time and postoperative complication rate of two groups were compared; postoperative pain degree of the two groups was evaluated.
Results The total hospitalization cost in the PBC group was significantly lower, and the operation time and total hospitalization time were significantly shorter than those in the MVD group (P < 0.05); mean age of the PBC group was significantly higher than that of the MVD group (P < 0.05). There was no significant difference in postoperative pain relief rate between the two groups (P>0.05). The incidence of postoperative facial numbness in the MVD group was significantly lower than that in the PBC group (P < 0.05).
Conclusion The short-term efficacy of MVD and PBC is similar. The incidence of postoperative complications of MVD is lower than that of PBC, and PBC is more suitable for elderly patients.

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