DSA与传统C臂机引导微球囊压迫术治疗三叉神经痛的疗效比较

王文贝; 娄飞云; 翟红洁; 韩冠达

doi:10.13898/j.cnki.issn.1000-2200.2022.05.019

DSA与传统C臂机引导微球囊压迫术治疗三叉神经痛的疗效比较

Comparison of efficacy between DSA and traditional C-arm machine guided microballoon compression for trigeminal neuralgia

摘要

摘要:
目的比较数字减影血管造影(DSA)与传统C臂机引导微球囊压迫术治疗三叉神经痛的临床疗效和并发症。
方法选取原发性三叉神经痛病人45例, 分为DSA组(n=20)和C臂机组(n=25)。DSA组采用DSA机精准引导微球囊压迫术, C臂机组采用传统C臂机引导微球囊压迫术, 比较2组病人的一次性穿刺成功率、手术时间、X线入射体表剂量、临床疗效和并发症发生率。
结果DSA组一次性穿刺成功率、入射体表剂量均高于C臂机组(P < 0.05和P < 0.01);DSA组手术时间明显低于C臂机组(P < 0.01);2组临床有效率差异无统计学意义(P>0.05)。C臂机组并发症发生率高于DSA组(P < 0.05)。
结论2种手术方式都有较好临床疗效, DSA引导微球囊压迫术具有提高一次性穿刺成功率、缩短手术时间和降低并发症的优点, 具有较高的临床应用和推广价值。

Abstract:
ObjectiveTo compare the clinical efficacy and complications between digital subtraction angiography(DSA) and traditional C-arm machine guided microballoon compression for trigeminal neuralgia.
MethodsForty-five patients with primary trigeminal neuralgia were divided into DSA group(n=20) and C-arm group(n=25).DSA group was treated with precise guidance of DSA machine, and C-arm group was treated with traditional C-arm machine.The success rate of one-time puncture, operation time, entrance surface dose of X-ray, clinical efficacy rate and complication rate in the two groups were compared.
ResultsThe success rate of one-time puncture and entrance surface dose of X-ray in DSA group were higher than those in C-arm group(P < 0.05 and P < 0.01), the operation time in DSA group was significantly lower than that in C-arm group(P < 0.01), and there was no significant difference in clinical efficacy rate between the two groups(P>0.05).The complication rate in C-arm group was higher than that in DSA group(P < 0.05).
ConclusionsThe two methods have high clinical efficacy, DSA guided microballoon compression has the advantages of improving the success rate of one-time puncture, shortening the operation time and reducing complications, and has a high clinical application and promotion value.

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