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

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.