三叉神经痛球囊压迫术后复发因素分析及梨形球囊与导丝路径的关系

IF 1.8 4区 医学 Q3 CLINICAL NEUROLOGY
Boyang Cao , Yang Li , Yinzhan Wang , Wenchang Guo , Ye Zhang , Hailiang Shi , Tao Qian
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引用次数: 0

摘要

背景皮球压迫术(PBC)因其疗效显著、治疗费用低廉而被广泛用于治疗三叉神经痛。然而,不同患者的术后疼痛复发率存在很大差异。目前,影响 PBC 术后疼痛复发的因素正在讨论中。本研究旨在探讨患者个体参数和手术参数对 PBC 术后疼痛复发的影响。方法对河北省总医院神经外科接受PBC手术的114例患者进行分析。结果多变量 Cox 回归分析结果显示,高血压病史、MRI 显示三叉神经受压和非理想梨形球囊是 PBC 术后疼痛复发的统计学显著因素。结论 高血压病史、磁共振成像显示三叉神经受压和梨形球囊形状不理想是 PBC 术后疼痛复发的独立危险因素。此外,为避免因球囊形状不理想而导致疼痛复发,建议使用三维切片机进行术前导丝路径模拟和梅克尔腔三维重建。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of recurrence factors after balloon compression for trigeminal neuralgia and the relationship between pear-shaped balloon and guidewire path

Background

Percutaneous balloon compression (PBC) is widely used to treat trigeminal neuralgia due to its significant efficacy and low treatment cost. However, there is considerable variation in postoperative pain recurrence among patients. Currently, the factors influencing pain recurrence after PBC are under discussion. This study aims to explore the impact of individual patient parameters and surgical parameters on postoperative pain recurrence following PBC. The goal is to provide clinicians with a reference for preoperative assessment of pain recurrence risk and to offer insights for effectively intervening in controllable influencing parameters.

Methods

A analysis was conducted on 114 patients who underwent PBC in the Department of Neurosurgery at Hebei General Hospital. Univariate Kaplan-Meier analysis and multivariate Cox regression analysis were performed on the general and surgical data of the patients to identify factors potentially associated with postoperative pain recurrence.

Results

The results of the multivariate Cox regression analysis showed that a history of hypertension, MRI indicating trigeminal nerve compression and a non-ideal pear-shaped balloon were statistically significant factors for pain recurrence after PBC. Additionally, the guidewire path during the procedure had a statistically significant impact on the rate of achieving a pear-shaped balloon (P<0.05).

Conclusion

A history of hypertension, MRI indicating trigeminal nerve compression and a non-ideal pear-shaped balloon shape are independent risk factors for pain recurrence after PBC. Additionally, to avoid pain recurrence due to an unfavorable balloon shape, it is recommended to use 3D-slicer for preoperative guidewire path simulation and 3D reconstruction of Meckel's cavity.

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来源期刊
Clinical Neurology and Neurosurgery
Clinical Neurology and Neurosurgery 医学-临床神经学
CiteScore
3.70
自引率
5.30%
发文量
358
审稿时长
46 days
期刊介绍: Clinical Neurology and Neurosurgery is devoted to publishing papers and reports on the clinical aspects of neurology and neurosurgery. It is an international forum for papers of high scientific standard that are of interest to Neurologists and Neurosurgeons world-wide.
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