原发性三叉神经痛患者术后面部麻木发生情况及影响因素分析  

Analysis of postoperative facial numbness and its influencing factors in patients with primary trigemial neuralgia

作　　者：杨涛[1] 李红伟[2] Yang Tao;Li Hongwei(Yellow River Central Hospital,Zhengzhou 450000 Henan;The First Affiliated Hospital of Zhengzhou University,450000)

机构地区：[1]黄河中心医院,河南郑州450000 [2]郑州大学第一附属医院,河南郑州450000

出　　处：《辽宁医学杂志》2024年第5期28-31,共4页Medical Journal of Liaoning

摘　　要：目的 探讨原发性三叉神经痛(PTN)患者术后面部麻木发生情况及影响因素,旨在为临床制定防治面部麻木措施提供科学依据。方法 选取2018年1月至2023年2月在我院接受微血管减压术治疗的214例PTN患者,根据术后2周是否发生面部麻木分组,比较两组临床资料,Logistic多因素回归模型分析面部麻木的相关因素。结果 术后2周,214例PTN患者有39例出现面部麻木,发生率为18.22%(39/214)。两组神经上血管压迹、减压程度、压迫程度、神经内镜辅助情况比较,差异有统计学意义(P<0.05)。神经上有血管压迹、压迫程度(有位移)为PTN患者术后发生面部麻木的危险因素;减压程度(充分)、有神经内镜辅助为PTN患者术后发生面部麻木的保护因素。结论 PTN患者微血管减压术后面部麻木发生风险较高,主要与神经上有血管压迹、压迫程度、减压程度、有神经内镜辅助等因素有关,在临床诊治过程中,早期确诊,尽早手术,尽量减少手术时间,降低术后面部麻木发生风险。Objective To investigate the occurrence and influencing factors of facial numbness in patients with primary trigeminal neuralgia(PTN)after surgery,in order to provide a scientific basis for developing clinical measures to prevent and treat facial numbness.Methods A total of 214 patients with PTN who received microvascular decompression in our hospital from January 2018 to February 2023 were selected and divided into two groups according to whether facial numb-ness occured 2 weeks afer surgery.The clinical data of the two groups were compared and the related factors of facial numbness were analyzed by Logistic multivariate regression model.Results Two weeks after surgery,39 of 214 PTN pa-tients had facial numbness,the incidence was 18.22%(39/214).There were statistically significant differences in neuro-vascular indentation,decompression degree,compression degree and neuroendoscopy assistance between the two groups(P<0.05).Vascular indentation and compression degree(displacement)were risk factors for postoperative facial numb-ness in patients with PTN.The degree of decompression(sufficient)and the assistance of neuroendoscopy were protective factors for postoperative facial numbness in PTN patients.Conclusion The risk of facial numbness after microvascular decompression in patients with PTN is higher,which is mainly related to the vascular indentation on the nerve,the degree of compression,the degree of decompression,the assistance of neuroendoscopy and other factors.In clinical diagnosis and treatment,early diagnosis and early operation should be carried out to minimize the operation time and reduce the risk of facial numbness after surgery.

关 键 词：原发性三叉神经痛 微血管减压术 面部麻木 影响因素 

分 类 号：R651.3[医药卫生—外科学]