摘要
目的探究经皮穿刺半月神经节球囊压迫术(PBC)与微血管减压术(MVD)治疗三叉神经痛的临床效果。方法选取2018年10月~2020年3月我院收治的三叉神经痛患者64例作为研究对象,按照治疗方法不同分为PBC组(33例)及MVD组(31例),比较两组临床疗效(BNI评分)、手术时间、住院时间、住院费用及并发症发生情况。结果PBC组与MVD组总有效率比较(96.97%vs 96.77%),差异无统计学意义(P>0.05);PBC组并发症发生率高于MVD组(51.52%vs 19.35%),差异有统计学意义(P<0.05);MVD组住院费用高于PBC组,手术时间及住院时间长于PBC组,差异有统计学意义(P<0.05)。结论PBC和MVD治疗三叉神经痛的临床效果相当,但PBC术后并发症发生几率高于MVD,而MVD住院费用高、手术难度大、住院时间长,临床可根据患者实际情况,选择适宜的手术方式。
Objective To explore the clinical effects of percutaneous transluminal ganglion balloon compression(PBC)and microvascular decompression(MVD)in the treatment of trigeminal neuralgia.Methods A total of 64 patients with trigeminal neuralgia admitted to our hospital from October 2018 to March 2020 were selected as the research objects and according to different treatment methods divided into PBC group(33 cases)and MVD group(31 cases).The clinical efficacy(BNI score),operation time,length of hospitalization,hospitalization expenses and complications were compared between the two groups.Results The total effective rate was compared between the PBC group and the MVD group(96.97%vs 96.77%),the difference was not statistically significant(P>0.05);The incidence of complications in the PBC group was higher than that in the MVD group(51.52%vs 19.35%),the difference was statistically significant(P<0.05);The hospitalization cost of the MVD group was higher than that of the PBC group,and the operation time and hospital stay were longer than that of the PBC group,the difference was statistically significant(P<0.05).Conclusion The clinical effects of PBC and MVD in the treatment of trigeminal neuralgia are equivalent,but the incidence of complications after PBC is higher than that of MVD.Microvascular decompression surgery is expensive,difficult to operate,and long in hospital.According to the actual situation of the patient,the appropriate surgical method can be selected clinically.
作者
朱冬冬
施正生
赵鹏
方晖
ZHU Dong-dong;SHI Zheng-sheng;ZHAO Peng;FANG Hui(Department of Neurosurgery,Anqing Hospital Affiliated to Anhui Medical University,Anqing 246001,Anhui,China)
出处
《医学信息》
2021年第7期119-121,共3页
Journal of Medical Information
关键词
三叉神经痛
球囊压迫术
微血管减压术
Trigeminal neuralgia
Balloon compression
Microvascular decompression
