国际脑血管病杂志
國際腦血管病雜誌
국제뇌혈관병잡지
INTERNATIONAL JOURNAL OF CEREBROVASCULAR DISEASES
2011年
8期
585-588
,共4页
李付勇%马雅文%陈晓虹%邹建军%李岩峰%王斌%黄海韬%王全才%李亮%马逸
李付勇%馬雅文%陳曉虹%鄒建軍%李巖峰%王斌%黃海韜%王全纔%李亮%馬逸
리부용%마아문%진효홍%추건군%리암봉%왕빈%황해도%왕전재%리량%마일
三叉神经痛%气囊扩张术%脑血管障碍
三扠神經痛%氣囊擴張術%腦血管障礙
삼차신경통%기낭확장술%뇌혈관장애
Trigeminal neuralgia%Balloon dilation%Cerebrovascular disorders
目的 探讨三叉神经痛经皮球囊压迫术（percutaneous balloon compression，PBC）并发脑血管病的相关因素，以减少手术相关并发症的发生。方法 回顾性分析辽宁省人民医院2000年12月至2010年12月期间采用PBC治疗三叉神经痛中并发脑血管病患者的临床资料，探讨其发生的原因。结果 在6 759例接受PBC治疗的三叉神经痛患者中，共有10例(0.15％)发生脑血管病，其中动静脉瘘2例；颅内出血5例：急性硬膜下出血2例，脑室出血伴蛛网膜下腔出血2例，脑干少量出血1例；1例在术中穿刺时发生颈内动脉出血而暂时停止手术，2周后再次手术成功；脑梗死2例，均为脑血管病危险人群，治疗3周后病情均有改善，其中1例出院时遗留较严重肢体瘫痪。结论 PBC治疗三叉神经痛安全，脑血管病并发症发生率较低，手术操作和血压变化是发生脑血管病并发症的重要原因。
目的 探討三扠神經痛經皮毬囊壓迫術（percutaneous balloon compression，PBC）併髮腦血管病的相關因素，以減少手術相關併髮癥的髮生。方法 迴顧性分析遼寧省人民醫院2000年12月至2010年12月期間採用PBC治療三扠神經痛中併髮腦血管病患者的臨床資料，探討其髮生的原因。結果 在6 759例接受PBC治療的三扠神經痛患者中，共有10例(0.15％)髮生腦血管病，其中動靜脈瘺2例；顱內齣血5例：急性硬膜下齣血2例，腦室齣血伴蛛網膜下腔齣血2例，腦榦少量齣血1例；1例在術中穿刺時髮生頸內動脈齣血而暫時停止手術，2週後再次手術成功；腦梗死2例，均為腦血管病危險人群，治療3週後病情均有改善，其中1例齣院時遺留較嚴重肢體癱瘓。結論 PBC治療三扠神經痛安全，腦血管病併髮癥髮生率較低，手術操作和血壓變化是髮生腦血管病併髮癥的重要原因。
목적 탐토삼차신경통경피구낭압박술（percutaneous balloon compression，PBC）병발뇌혈관병적상관인소，이감소수술상관병발증적발생。방법 회고성분석요녕성인민의원2000년12월지2010년12월기간채용PBC치료삼차신경통중병발뇌혈관병환자적림상자료，탐토기발생적원인。결과 재6 759례접수PBC치료적삼차신경통환자중，공유10례(0.15％)발생뇌혈관병，기중동정맥루2례；로내출혈5례：급성경막하출혈2례，뇌실출혈반주망막하강출혈2례，뇌간소량출혈1례；1례재술중천자시발생경내동맥출혈이잠시정지수술，2주후재차수술성공；뇌경사2례，균위뇌혈관병위험인군，치료3주후병정균유개선，기중1례출원시유류교엄중지체탄탄。결론 PBC치료삼차신경통안전，뇌혈관병병발증발생솔교저，수술조작화혈압변화시발생뇌혈관병병발증적중요원인。
Objective To investigate the related factors of percutaneous balloon compression (PBC) for the treatment of trigeminal neuralgia complicating cerebrovascular disease in order to reduce the incidence of surgical complications. Methods The clinical data in patients with trigeminal neuralgia complicating cerebrovascular disease treated with PBC in the People's Hospital of Liaoning Province from December 2000 to December 2010 were analyzed retrospectively. The reasons for its occurrence were investigated. Results Of the 6 759 patients with trigeminal neuralgia who received PBC treatment, 10 (0. 15％ ) developed cerebrovascular disease,and 2 of them had arteriovenous fistula; 5 patients developed intracranial hemorrhage: 2 acute subdural hemorrhage, 2 intraventricular hemorrhage with subarachnoid hemorrhage, and 1 small amount of bleeding in brain stem; 1 patient developed internal carotid hemorrhage during the intraoperative puncture and the operation was stopped temporarily, and he was reoperated successfully after 2 weeks; 2 patients had cerebral infarction, they were all in the risk population of cerebrovascular disease, and 3 weeks after treatment, their disease conditions were improved. One of them left severe paralysis of limbs at discharge. Condusions The treatment of trigeminal neuralgia with PBC is safe and the incidence of cerebrovascular complications is lower. The surgical operations and blood pressure changes are the important causes of cerebrovascular complications.
