DSA与传统C臂机引导微球囊压迫术治疗三叉神经痛的疗效比较  

Comparison of efficacy between DSA and traditional C-arm machine guided microballoon compression for trigeminal neuralgia

作　　者：王文贝 娄飞云[1] 翟红洁 韩冠达 WANG Wen-bei;LOU Fei-yun;ZHAI Hong-jie;HAN Guan-da(Department of Neurosurgery,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004,China)

机构地区：[1]蚌埠医学院第一附属医院神经外科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2022年第5期635-637,641,共4页Journal of Bengbu Medical College

摘　　要：目的:比较数字减影血管造影(DSA)与传统C臂机引导微球囊压迫术治疗三叉神经痛的临床疗效和并发症。方法:选取原发性三叉神经痛病人45例,分为DSA组(n=20)和C臂机组(n=25)。DSA组采用DSA机精准引导微球囊压迫术,C臂机组采用传统C臂机引导微球囊压迫术,比较2组病人的一次性穿刺成功率、手术时间、X线入射体表剂量、临床疗效和并发症发生率。结果:DSA组一次性穿刺成功率、入射体表剂量均高于C臂机组(P<0.05和P<0.01);DSA组手术时间明显低于C臂机组(P<0.01);2组临床有效率差异无统计学意义(P>0.05)。C臂机组并发症发生率高于DSA组(P<0.05)。结论:2种手术方式都有较好临床疗效,DSA引导微球囊压迫术具有提高一次性穿刺成功率、缩短手术时间和降低并发症的优点,具有较高的临床应用和推广价值。Objective:To compare the clinical efficacy and complications between digital subtraction angiography(DSA)and traditional C-arm machine guided microballoon compression for trigeminal neuralgia.Methods:Forty-five patients with primary trigeminal neuralgia were divided into DSA group(n=20)and C-arm group(n=25).DSA group was treated with precise guidance of DSA machine,and C-arm group was treated with traditional C-arm machine.The success rate of one-time puncture,operation time,entrance surface dose of X-ray,clinical efficacy rate and complication rate in the two groups were compared.Results:The success rate of one-time puncture and entrance surface dose of X-ray in DSA group were higher than those in C-arm group(P<0.05 and P<0.01),the operation time in DSA group was significantly lower than that in C-arm group(P<0.01),and there was no significant difference in clinical efficacy rate between the two groups(P>0.05).The complication rate in C-arm group was higher than that in DSA group(P<0.05).Conclusions:The two methods have high clinical efficacy,DSA guided microballoon compression has the advantages of improving the success rate of one-time puncture,shortening the operation time and reducing complications,and has a high clinical application and promotion value.

关 键 词：三叉神经痛 数字减影血管造影 微球囊压迫术 

分 类 号：R745.11[医药卫生—神经病学与精神病学]