DOI:10．3969/j．issn．1672-7770．2023．02．015·临床研究·经皮穿刺球囊压迫半月节治疗原发性三叉神经痛疗效分析(附2089例报告)罗佳迪，江力，孙承龙，杜垣峰，俞文华【摘要】目的分析经皮穿刺球囊压迫(PBC)半月节治疗原发性三叉神经痛的临床疗效。方法回顾性分析杭州市第一人民医院2010年1月—2020年1月采用PBC术式治疗的2089例原发性三叉神经痛患者的临床资料，并结合相关文献进行复习。结果术后即刻有效1998例(95．6%)，其中术后面部麻木1944例(93．1%)，咀嚼肌无力1036例(49．6%)，口周疱疹624例(29．9%)，复视3例(0．1%)，高龄患者的疗效与非高龄患者相比无差别，未发生颅内出血、死亡等严重并发症，随访过程中复发349例(16．7%)。结论PBC对于治疗原发性三叉神经痛是十分安全、有效的微创手段，特别适用于高龄、不能耐受开颅手术及显微血管减压术后复发的患者。【关键词】经皮穿刺球囊压迫术;三叉神经痛【中图分类号】R651【文献标志码】B【文章编号】1672-7770(2023)02-0200-04Clinicalanalysisontreatmentofprimarytrigeminalneuralgiabypercutaneousballooncompression(withreportof2089cases)LUOJia-di，JIANGLi，SUNCheng-long，etal．TheFourthSchoolofClinicalMedicine，ZhejiangChineseMedicineUniversity，Hangzhou310053，ChinaCorrespondingauthor:YUWen-huaAbstract:ObjectiveToevaluatetheclinicaleffectsofpercutaneousballooncompression(PBC)oftheGasserianganglionforprimarytrigeminalneuralgia．MethodsTheclinicaldataof2089patientswithprimarytrigeminalneuralgiatreatedwithPBCinHangzhouFirstPeople'sHospitalfromJanuary2010toJanuary2020wereanalyzedretrospectively，andtherelevantliteraturewasreviewed．Results1998cases(95．6%)wereeffectiveimmediatelyafteroperation，including1944(93．1%)offacialnumbness，1036(49．6%)ofmasticatorymuscleweakness，624(29．9%)ofperioralherpes，and3(0．1%)ofdiplopia．Therewasnodifferenceinefficacybetweenelderlypatientsandnon-elderlypatients．Noseriouscomplicationssuchasintracranialhemorrhageanddeathoccurred．Duringfollow-up，349cases(16．7%)recurred．ConclusionPBCisaverysafeandeffectiveminimallyinvasivemethodforthetreatmentofprimarytrigeminalneuralgia，especiallyforelderlypatients，whocannottoleratecraniotomyandrecurrenceafte...
