經(jīng)皮穿刺球囊壓迫術(shù)治療三叉神經(jīng)痛術(shù)后疼痛延遲性消失的影響因素分析

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關(guān)鍵詞】經(jīng)皮穿刺球囊壓迫術(shù)；三叉神經(jīng)痛；疼痛延遲性消失；影響因素 【中圖分類號(hào)】 R651; R745.1+1 【文獻(xiàn)標(biāo)志碼】A 【文章編號(hào)】 1672-7770（2025）03-0253-06

Abstract： Objective To investigate the risk factors associated with delayed pain relief after percutaneous balloon compression（PBC） for trigeminal neuralgia（TN）.MethodsTwo 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 January1，2018 to December 31，2O21 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% haddelayed painrelief.Analysis identified six independent risk factors for delayed painrelief，includingTNdurationexceedingeightyears，historyofradiofrequency thermocoagulation，diabetes mellitus，history of herpes zoster infection，pain involving the V2 branch of the trigeminal nerve，non-pear-shaped balloon during the operation. ConclusionsDelayed pain relief after PBC is a common phenomenon and is influenced by six risk factors.For patients with these risk factors， effectivepreoperativecommunication，intraoperativeadjustment， and postoperative intervention can help prevent delayed pain relief.

Key words： percutaneous balloon compression； trigeminal neuralgia； delayed pain relief;ifluencing factor

三叉神經(jīng)痛（trigeminalneuralgia，TN）是指三叉神經(jīng)支配區(qū)出現(xiàn)陣發(fā)性或反復(fù)發(fā)作的劇痛，主要有藥物治療與手術(shù)治療兩種手段。（剩余13010字）