3D-Slicer联合sina软件辅助经皮穿刺球囊压迫治疗三叉神经痛的临床效果  

3D slicer combined with sina software assisted percutaneous balloon compression for trigeminal neuralgia

作　　者：宋旭东 罗波 刘毅[1] 陈华轩 王潇娅 SONG Xudong;LUO Bo;LIU Yi;CHEN Huaxuan;WANG Xiaoya(Department of Neurosurgery,Nanchong Central Hospital,Nanchong 637000,China)

机构地区：[1]南充市中心医院神经外科,四川南充637000

出　　处：《实用医学杂志》2022年第9期1120-1124,共5页The Journal of Practical Medicine

基　　金：四川省卫生计生委科技项目(编号:18PJ430)。

摘　　要：目的探讨3D-Slicer联合sina软件辅助经皮穿刺球囊压迫治疗三叉神经痛的临床效果。方法选取2019年6月至2021年6月65例三叉神经痛患者纳入研究,按照不同手术方式分为3D-Slicer联合sina软件辅助穿刺手术组(观察组)35例和传统徒手定位穿刺手术组(对照组)30例。比较手术时间、穿刺时间、穿刺次数、术中透视次数、术中射线量、球囊成形不良例数、术后第1天Barrow神经病学研究所(BNI)疼痛强度评分以及术后6个月内的预后情况。结果观察组的手术时间、穿刺时间、穿刺次数、术中透视次数、术中射线量均明显优于对照组,差异有统计学意义(P<0.05)。两组球囊成形不良例数、术后第1天疼痛完全缓解率比较差异无统计学意义(P>0.05)。术后6个月内随访,两组患者面部麻木、复视、咬肌无力、角膜炎、唇疱疹、血管损伤、复发的发生率比较,差异无统计学意义(P>0.05)。结论3D-Slicer联合sina软件可辅助精准、快捷穿刺卵圆孔以及注入适量造影剂进行压迫,可缩短穿刺和手术时间,减少穿刺、透视次数,降低术中射线量。Objective To investigate the clinical effect of 3 D slicer combined with sina software assisted percutaneous balloon compression in the treatment of trigeminal neuralgia.Methods A total of 65 patients with trigeminal neuralgia from June 2019 to June 2021 were enrolled and divided into 3 D-Slicer combined with Sina assisted puncture surgery group(observation group,n=35)and traditional freehand positioning puncture surgery group(control group,n=30)according to different surgical procedures.The operative time,puncture time,puncture frequencies,intraoperative fluoroscopy frequencies,intraoperative ray volume,number of balloon malformation,pain intensity scores at Barrow Neurological Institute(BNI)on the 1 st day after operation and the prognosis within6 months after operation were compared.Results The operation time,puncture time,puncture frequencies,intraoperative fluoroscopy frequencies and intraoperative radiation volume in the observation group were significantly than those of the control group(P<0.05).There was no statistical significance in the number of balloon malformation and the rate of complete pain relief(BNI grade I)on the first postoperative day between the two groups(P>0.05).Follow-up within 6 months after surgery,there was no significant difference in the incidence of facial numbness,diplopia,masseter weakness,keratitis,herpes labialis,vascular injury and recurrence between the two groups(P>0.05).Conclusion 3 D slicer combined with sina software could assist precise and fast puncture of foramen ovale and injection of appropriate contrast agent for compression;It has the advantages of shortening the time of puncture and operation,reducing the number of puncture and fluoroscopy,and reducing the amount of intraoperative rays.

关 键 词：3D-Slicer软件 sina软件 三叉神经痛 经皮穿刺球囊压迫 

分 类 号：R745.11[医药卫生—神经病学与精神病学]