| 3种微创疗法在复发性三叉神经痛中的临床应用 |
| |
| 引用本文： | 龚国华,龚志南,吴火生,杨起坤,黄小青,沈建忠.3种微创疗法在复发性三叉神经痛中的临床应用[J].中国现代医学杂志,2023(22):64-69. |
| |
| 作者姓名： | 龚国华 龚志南 吴火生 杨起坤 黄小青 沈建忠 |
| |
| 作者单位： | 1.井冈山大学附属医院，疼痛科，江西 吉安 343000;2.井冈山大学附属医院，神经外科，江西 吉安 343000 |
| |
| 基金项目： | 江西省科技计划项目（No：20212BAB206018） |
| |
| 摘 要： | 目的 探讨3种微创疗法在复发性三叉神经痛（TN）中的临床应用效果。方法 回顾性分析2016年7月—2020年7月在井冈山大学附属医院就诊的99例复发性TN患者的病例资料，根据微创疗法不同分为A组（32例）、B组（36例）、C组（31例）。A组接受经皮射频热凝术治疗，B组接受显微血管减压术（MVD）治疗，C组接受经皮穿刺微球囊压迫术（PBC）治疗。对比3组围手术期相关指标、术后缓解程度、负性情绪、睡眠质量及并发症，随访2年，对比3组复发率。结果 B组术中出血量多于A组、C组（P <0.05）,C组术中出血量多于A组（P <0.05）;B组术后住院时间、手术时间长于A组、C组（P <0.05）,C组术后住院时间、手术时间长于A组（P <0.05）。3组术后1 d、术后1年总缓解率比较，差异无统计学意义（P>0.05）,B组、C组术后2年总缓解率高于A组（P <0.05）。A组、B组、C组术前、术后1 d、术后7 d、术后6个月的综合医院焦虑抑郁量表（HADS）焦虑部分评分、HADS抑郁部分评分、匹兹堡睡眠质量指数（PSQI）评分比较，结果：(1)不同时间...
|
| 关 键 词： | 复发性三叉神经痛 微创疗法 并发症 负性情绪 睡眠质量 复发 |
| 收稿时间： | 2023/6/13 0:00:00 |
Clinical application of three minimally invasive therapies in recurrent trigeminal neuralgia |
| |
| Gong Guo-hu,Gong Zhi-nan,Wu Huo-sheng,Yang Qi-kun,Huang Xiao-qing,Shen Jian-zhong.Clinical application of three minimally invasive therapies in recurrent trigeminal neuralgia[J].China Journal of Modern Medicine,2023(22):64-69. |
| |
| Authors: | Gong Guo-hu Gong Zhi-nan Wu Huo-sheng Yang Qi-kun Huang Xiao-qing Shen Jian-zhong |
| |
| Affiliation: | 1.Department of Pain, Affiliated Hospital of Jinggangshan University, Ji''an, Jiangxi 343000, China;2.Department of Neurosurgery, Affiliated Hospital of Jinggangshan University, Ji''an, Jiangxi 343000, China |
| |
| Abstract: | Objective To investigate the clinical efficacy of three minimally invasive therapies in recurrent trigeminal neuralgia (TN).Methods Clinical data of 99 patients with recurrent TN treated in our hospital from July 2016 to July 2020 were retrospectively analyzed. The patients were divided into group A (32 cases), group B (36 cases) and group C (31 cases) according to the minimally invasive therapy applied. Specifically, group A received percutaneous radiofrequency thermocoagulation, group B received microvascular decompression (MVD), and group C received percutaneous microballoon compression (PBC). Perioperative indicators, postoperative remission, negative emotions, sleep quality and complications were compared among the three groups. The recurrence rate of the three groups was compared after 2 years of follow-up.Results The intraoperative blood loss in group B was higher than that in group A and group C (P < 0.05), and that in group C was even higher compared with group A (P < 0.05). The length of postoperative hospital stay and operative duration in group B were longer than those in group A and group C (P < 0.05), and those in group C were even longer than those in group A (P < 0.05). The overall remission rates 1 d and 1 year after surgery were not different among the three groups (P > 0.05), whereas the overall remission rate 2 years after surgery in group C and group B was higher than that in group A (P < 0.05). The subscale scores for anxiety and depression in Hospital Anxiety and Depression Scale (HADS) and Pittsburgh Sleep Quality Index (PSQI) scores in the three groups before and 1 day, 7 days and 6 months after surgery were compared via repeated measures analysis of variance. The results revealed that there were differences in subscale scores for anxiety and depression in HADS and PSQI scores among the time points (P < 0.05) and the groups, and that the change trends of these scores were also different among the groups (P < 0.05). There was no significant difference in the incidence of perioral herpes, facial numbness, masticatory muscle weakness, cerebrospinal fluid leakage and local hematoma among the three groups (P > 0.05). The recurrence rate of group A was higher than that of group B and group C (P < 0.05).Conclusions Compared with percutaneous radiofrequency thermocoagulation and MVD, PBC is more conducive to alleviating negative emotions, improving sleep quality, ameliorating the pain, and lowering the risk of recurrence for patients with recurrent TN. |
| |
| Keywords: | recurrent trigeminal neuralgia minimally invasive therapy complication negative emotion sleep quality recurrence |
|
| 点击此处可从《中国现代医学杂志》浏览原始摘要信息 |
|
点击此处可从《中国现代医学杂志》下载全文 |
|
