颅外射频热凝术与经皮球囊压迫术治疗原发性三叉神经上颌支痛的疗效比较

Comparation of Extracranial radiofrequency thermocoagulation and percutaneous balloon compression in the treatment of primary trigeminal maxillary branch pain

摘要:

目的:探究颅外射频热凝术（Extracranial radiofrequency thermocoagulation，ERT）与经皮球囊压迫术(Percutaneous balloon compression，PBC)治疗原发性三叉神经上颌支痛的短期疗效和并发症。方法：回顾性收集2020至2021年因原发性三叉神经上颌支痛而接受治疗的病人临床资料，分为ERT组（n=29）和PBC组（n=31），并随访术后第1天、1个月、3个月和6个月的Barrow神经科研究所(Barrow Neurological Institute, BNI)疼痛评分、数字评估量表（numerical rating scale, NRS）和并发症。结果：共60例纳入研究。两组病人的性别、年龄、疼痛侧别、病程、治疗前与治疗后6个月内的BNI、NRS无明显差异(P＞0.05)。PBC组在第6个月仍有1例听力减退，2例眼部并发症，1例咀嚼肌肌力减退，ERT组均未出现(P＞0.05)。面部麻木感发生率在前3个月两组之间无明显差异（P＞0.05），在第6个月ERT组明显高于PBC组（P＜0.05）。结论：两种方式的近期疗效相当，PBC并发症较多，ERT会产生更持久的面部麻木感。

Abstract:

Objective: To explore the short-term efficacy and complications of extracranial radiofrequency thermocoagulation (ERT) and percutaneous balloon compression (PBC) in the treatment of primary trigeminal maxillary branch pain. Methods: The clinical data of patients treated for primary trigeminal maxillary pain from 2020 to 2021 were retrospectively collected. They were divided into ERT group (n=29) and PBC group (n=31). Barrow Neurological Institute (BNI) pain scores, numerical ratings scale (NRS) and complications were assessed at 1 day, and 1, 3 and 6 months after surgery. Results: A total of 60 cases were included. There were no significant differences in gender, age, pain side, course of disease, BNI and NRS before treatment and within 6 months after treatment between the two groups (P>0.05). At the 6th month, there was still 1 case of hearing loss, 2 cases of eye complications, and 1 case of masticatory muscle weakness in the PBC group, while no cases were found in the ERT group (P>0.05). There was no significant difference in the incidence of facial numbness between the two groups in the first 3 months (P>0.05). However, there was significantly higher in the ERT group at 6 months than in the PBC group (P<0.05). Conclusion: Short term efficacy of ERT in the treatment of primary trigeminal maxillary branch pain is comparable to PBC. The PBC group has more complications. ERT produces longer-lasting facial numbness.