Evaluation Of The Efficacy And Adverse Reactions Of Microballoon Compression And Microvascular Decompression In The Treatment Of Trigeminal Neuralgia

Objective:To explore the pain relief rate and adverse reaction analysis of the newly promoted C-arm and neuro navigation assisted percutaneous balloon compression(PBC)and microvascular decompression(MVD)in Shanxi.Methods:A retrospective follow-up of 67 patients undergoing microvascular compression in the First Hospital of Shanxi Medical University from December 2018 to January 2020,and 77 patients with trigeminal nerve compression assisted by C-arm neuronavigation,were followed up.Learn more about the patients Before operation,during operation,hospitalization time,operation time and other information,and through statistical analysis to explore the differences.Results:There was no statistical difference in the pain relief rate of the two groups of patients immediately after surgery,6 months and 1 year,and the postoperative pain relief rate of the patients had nothing to do with whether it was the second branch and the course of the disease,and whether the patient was older than 60-year-old related.In addition,microballoon compression has a higher facial numbing effect(52.6%)and adverse reactions of masticatory muscle disorders,but microvascular decompression may have serious consequences such as cerebrospinal fluid leakage and intracranial infection,and the possibility of hearing loss is higher(8.96%).Moreover,the operation of the microballoon compression operation is simple,and the operation time and hospitalization time are short.Conclusion:The cure rates of the two groups were similar during the 1-year follow-up,indicating that patients with trigeminal neuralgia can freely choose surgical procedures based on short-term effects.Although PBC is assisted by C-arm and neuronavigation,it still has a higher facial numbness effect.However,microvascular decompression may have serious consequences such as cerebrospinal fluid leakage and intracranial infection,and the possibility of hearing loss is higher.PBC operation is simple,The turnover is faster,and it is more suitable for the elderly from the short-term effect.。...