C臂CT三维重建技术在三叉神经球囊压迫术中的临床应用  

Clinical application of C-arm CT three-dimensional reconstruction technology in percutaneous balloon compression of trigeminal nerve

作　　者：张涛[1] 陈伟 徐军[1] 徐文虎[1] 吕伟波 李炳伟 李泽福[1] ZHANG Tao;CHEN Wei;XU Jun;XU Wenhu;LÜWeibo;LI Bingwei;LI Zefu(Department of Neurosurgery,Affiliated Hospital of Binzhou Medical College,Binzhou,Shandong Province 256603,China)

机构地区：[1]滨州医学院附属医院神经外科,山东256603

出　　处：《介入放射学杂志》2020年第9期913-916,共4页Journal of Interventional Radiology

摘　　要：目的评价C臂CT三维重建技术在三叉神经球囊压迫术中的临床应用意义。方法回顾性分析利用C臂CT三维重建技术指导三叉神经球囊压迫术15例,术前及术后分别计算视觉模拟评分(VAS),研究术后近期临床疗效、出现并发症的情况。结果所有患者术中球囊在三维重建下均显示位于Meckel腔内,并根据Meckel腔形状在三维重建下呈现不规则的"三角锥"型,术后疼痛均有所缓解,术后1 d、1个月、3个月VAS评分明显下降,较术前有统计学意义(P<0.05),有效率分别为100%,93.3%,86.7%,无严重不良作用产生。结论C臂CT能快速、安全、简便地完成卵圆孔穿刺并提供了比经典的"梨形"图像更精细的三维图像。C臂CT三维重建技术指导进行球囊压迫有穿刺准确、节省时间、疗效确切的优点,具有重要的临床应用意义。Objective To assess the clinical application value of C-arm CT three-dimensional(3 D) reconstruction technology in percutaneous balloon compression(PBC)of primary trigeminal neuralgia(PTN).Methods The clinical data of 15 patients with PTN,who were treated with PBC guided by C-arm CT 3 D reconstruction images,were retrospectively analyzed.Both preoperative and postoperative visual analogue scale(VAS)scores were calculated.The short-term curative effect and the incidence of complications were analyzed.Results During operation,the balloon was well displayed on 3 D reconstruction images and was located in the Meckel cavity in all patients.According to the shape of Meckel cavity,the balloon presented as an irregular"triangle cone"appearance on 3 D reconstruction images.After the treatment,the pain was relieved in all patients.The postoperative one-day,one-month,and 3-month VAS scores showed an obvious decreasing trend,which were statistically significant when compared with the preoperative ones(P<0.05),and the postoperative one-day,one-month,and 3-month effective rates were 100%,93.3%and 86.7%,respectively.No serious adverse reactions occurred.Conclusion The use of C-arm CT scan can quickly,safely and easily accomplish the puncturing of foramen ovale,and can provide the 3 D images that are more precise and meticulous than the classic"pear-shaped"images.Under the guidance of C-arm CT 3 D reconstruction images,PBC can give full play to the advantages of accurate puncturing,saving time and reliable curative effect.Therefore,C-arm CT 3 D reconstruction has important clinical significance in treating PTN.

关 键 词：三叉神经痛 C臂CT 三维重建 经皮球囊压迫术 

分 类 号：R745.11[医药卫生—神经病学与精神病学]