临床神经外科杂志2025，Vol.22Issue(3)：253-258,6.DOI:10.3969/j.issn.1672-7770.2025.03.003
经皮穿刺球囊压迫术治疗三叉神经痛术后疼痛延迟性消失的影响因素分析
Analysis of influencing factors for delayed pain relief after percutaneous balloon compression for trigeminal neuralgia
摘要
Abstract
Objective To investigate the risk factors associated with delayed pain relief after percutaneous balloon compression(PBC)for trigeminal neuralgia(TN).Methods Two hundred and sixty-seven patients with TN who underwent PBC surgery in the Department of Neurosurgery,at Qilu Hospital of Shandong University and Shandong Provincial Hospital from January 1,2018 to December 31,2021 were selected as the research objects,among whom 76 patients experienced delayed pain relief after the procedure.Univariate and multivariate logistic regression models were used to explore the correlation between various factors and the occurrence of delayed pain relief.Results Among the 267 patients,95.13％experienced effective pain relief after the procedure,and 28.46％had delayed pain relief.Analysis identified six independent risk factors for delayed pain relief,including TN duration exceeding eight years,history of radiofrequency thermocoagulation,diabetes mellitus,history of herpes zoster infection,pain involving the V2 branch of the trigeminal nerve,non-pear-shaped balloon during the operation.Conclusions Delayed pain relief after PBC is a common phenomenon and is influenced by six risk factors.For patients with these risk factors,effective preoperative communication,intraoperative adjustment,and postoperative intervention can help prevent delayed pain relief.关键词
经皮穿刺球囊压迫术/三叉神经痛/疼痛延迟性消失/影响因素Key words
percutaneous balloon compression/trigeminal neuralgia/delayed pain relief/influencing factor分类
临床医学引用本文复制引用
康曦之,吕文明,刘晓亮,于鑫铭,张良文..经皮穿刺球囊压迫术治疗三叉神经痛术后疼痛延迟性消失的影响因素分析[J].临床神经外科杂志,2025,22(3):253-258,6.基金项目
山东省自然科学基金项目(2014GSF118004) （2014GSF118004）
