经皮穿刺球囊压迫术治疗三叉神经痛术后疼痛延迟性消失的影响因素分析

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关键词】经皮穿刺球囊压迫术；三叉神经痛；疼痛延迟性消失；影响因素 【中图分类号】 R651; R745.1+1 【文献标志码】A 【文章编号】 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

三叉神经痛（trigeminalneuralgia，TN）是指三叉神经支配区出现阵发性或反复发作的剧痛，主要有药物治疗与手术治疗两种手段。（剩余13010字）