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目的:对比微血管减压(MVD)和经皮穿刺球囊压迫(PBC)治疗原发性三叉神经痛(PTN)的疗效。方法:选择2010年5月至2013年11月在我院接受治疗的PTN患者124例进行研究,根据数字法随机分成MVD组及PBC组各62例,两组分别行对应手术,随访18个月,对比两组手术相关指标、疗效以及术后并发症。结果:MVD组的手术时间与术中出血量,以及住院时间和住院费用均分别大于PBC组(均P<0.05)。MVD组治疗后完全无痛的比例显著高于PBC组,轻度复发的比例显著低于PBC组(均P<0.05)。MVD组的麻木及总并发症发生率均分别显著低于PBC组(均P<0.05)。结论:MVD术式与PBC术式在治疗PTN时均具有较好的疗效,MVD术后无痛和并发症情况较好,而PBC创伤较小,较适合高龄体弱而无法耐受较大手术者,临床治疗时应合理地选用相关术式。
Objective: To compare the efficacy of microvascular decompression (MVD) and percutaneous balloon compression (PBC) in the treatment of primary trigeminal neuralgia (PTN). Methods: A total of 124 patients with PTN treated in our hospital from May 2010 to November 2013 were selected and randomly divided into MVD group and 62 patients in PBC group according to the digital method. The two groups were operated on for 18 months , Compared the two groups of surgery-related indicators, efficacy and postoperative complications. Results: The operation time, intraoperative blood loss, hospitalization and hospitalization costs in MVD group were significantly higher than those in PBC group (all P <0.05). The rate of complete painlessness in MVD group was significantly higher than that in PBC group, and the rate of mild recurrence was significantly lower than that in PBC group (all P <0.05). The incidence of numbness and total complication in MVD group were significantly lower than that in PBC group (all P <0.05). Conclusion: Both MVD and PBC have a good curative effect in the treatment of PTN. The painless and complications after MVD are better, while the trauma of PBC is smaller, which is more suitable for the elderly and weaker and can not tolerate major surgery The clinical treatment should be appropriate to use the relevant surgical procedures.