杂交手术室DSA辅助三维重建技术在三叉神经球囊压迫术的临床应用
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扬州大学临床医学院

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江苏省高层次卫生人才“六个一工程”拔尖人才科研项目.(LGY2017026);扬州市科技局社会发展项目(YZ2017068);江苏省333工程科研项目(BRA2019026);扬州市社会发展项目(YZ2019056)


Clinical application of hybrid operating room DSA combined with 3D reconstruction in trigeminal nerve balloon compression
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    摘要:

    目的 初步探讨杂交手术室DSA辅助三维重建技术在三叉神经微创穿刺球囊压迫术中的临床应用意义。方法 对2019年1月至2021年1月采用DSA辅助三维重建技术经皮穿刺球囊压迫术治疗的15例三叉神经痛的临床资料进行回顾性分析,评估患者穿刺次数,术中球囊形态,观察患者术后临床有效率,以及并发症的发生率。结果 14例患者穿刺一次成功,1例患者穿刺2次,穿刺一次成功率93.3%,术中球囊呈梨形13例,类梨形2例,术后症状完全消失13例,明显缓解2例,无其它颅神经损伤并发症,无颅内出血和颅内感染等并发症。结论 DSA辅助三维重建技术能有效辅助精准穿刺,提高手术成功率,具有重要的临床应用意义。

    Abstract:

    Objective to explore the clinical significance of hybrid operating room DSA combined with 3D reconstruction in trigeminal nerve minimally invasive puncture balloon compression. Methods the clinical data of 15 cases of trigeminal neuralgia treated by percutaneous balloon compression under the guidance of hybrid operating room DSA and 3D reconstruction from January 2019 to January 2021 were analyzed retrospectively. The puncture times, intraoperative balloon shape, postoperative clinical efficacy and the incidence of complications were evaluated. Results 14 patients were successfully punctured once, 1 patient was punctured twice, and the success rate was 93.3%. During the operation, the balloon was pear shaped in 13 cases, pear like in 2 cases, the postoperative symptoms completely disappeared in 13 cases, and significantly relieved in 2 cases. There were no other complications of cranial nerve injury, intracranial hemorrhage and intracranial infection. Conclusion hybrid operating room DSA combined with 3D reconstruction technology can effectively assist accurate puncture and improve the success rate of operation, which has important clinical significance.

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  • 收稿日期:2021-11-29
  • 最后修改日期:2022-02-04
  • 录用日期:2022-03-23
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