经皮三叉神经半月节球囊压迫术与射频热凝术治疗老年人原发性三叉神经痛的疗效与安全性对比研究

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【中图分类号】 R651 【文献标志码】 B 【文章编号】 1672-7770（2026）01-0091-06

Comparative study the efficacy and safety percutaneous balloon compression versus radirequency thermocoagulation for primary trigeminal neuralgia inelderlypatients PAN Liye，ZHANG Quanyun，ZHANG Hongjin，SHI Hui. 212OOO， Corresponding author：SHI Hui

Abstract：ObjectiveTo compare the efcacy，safety，and complications percutaneous baloon compression （PBC） the trigeminal semilunar ganglionwith percutaneous radirequencythermocoagulation（RFT） the trigeminal semilunar ganglionin elderlypatients with primarytrigeminal neuralgia（PTN），therebyproviding evidence forclinicaldecision-making.MethodsTheclinicaldata78elderlypatientswithPTNadmited totheDepartment Pain，Lianyungang Second People's Hospital from January 2022 to October 2022 were analyzed retrospectively. According to the surgical method，4O cases were divided into PBC group and 38 cases were divided into RFT group. Preoperativeandpostoperative visualanalogue scale（VAS）painscores，overall efcacy，complications，and recurrence rates were recorded andanalyzed.ResultsThere was no significant diference in preoperative VAS scores between the two groups. At 1 hour postoperatively，VAS scores in both groups decreased significantly（ P<0.05 ）， with no significant difference at this time point. The overall effective rate was 95% in the PBC group and 97.4% in the RFT group，with no significant difference（ P>0.05 ）.The incidence moderate to severe facial numbness was higher in the RFT group thanin the PBC group（ P<0.05 ）.Differencesin masticatory weakness，decreased corneal reflex，and oral herpes between groups were not significant（ P>0.05） .Recurrences occurred in both groups，with no significant difference in recurrence rates（ P>0.05 ）.ConclusionsBoth PBC and RFT have their respective advantages and disadvantages in treating elderly patientswithPTN.Both procedures effectivelyrelievepain，with facialnumbnessbeing the mostcommoncomplication.PBCers beterrelieffacialnumbnessbutrequiresgeneral anesthesia and incurs higher costs.

Key words：primary trigeminal neuralgia；percutaneous baloon compression；percutaneous radirequency thermocoagulation；elderly；efficacy；safety

原发性三叉神经痛（primarytrigeminalneuralgia，PTN）作为一种常见的颅神经疾病，其特征为三叉神经分布区域内突发的、短暂而剧烈的疼痛，如电击、刀割般，严重影响患者的生活质量[1-3]。（剩余12364字）