Clinical strategy of percutaneous balloon compression under local anesthesia for the treatment of primary trigeminal neuralgia
10.12007/j.issn.0258-4646.2025.02.012
- VernacularTitle:局部麻醉下经皮穿刺球囊压迫术治疗原发性三叉神经痛的方案选择
- Author:
Yang MIAO
1
;
Lei HE
;
Daosong DONG
;
Xinxin GUO
Author Information
1. 郑州市妇幼保健院麻醉科,郑州 450006
- Publication Type:Journal Article
- Keywords:
trigeminal neuralgia;
percutaneous balloon compression;
trigemino-cardiac reflex;
local anesthesia
- From:
Journal of China Medical University
2025;54(2):161-166
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the strategy of percutaneous balloon compression under local anesthesia for the treatment of primary trigeminal neuralgia.Methods Sixty patients with primary trigeminal neuralgia who underwent percutaneous puncture balloon compres-sion surgery at the Third Affiliated Hospital of Jinzhou Medical University between August 2018 and August 2022 were randomly divided into three groups.Group A received 2％lidocaine(1 mL)before puncturing the foramen ovale and 0.5％lidocaine(0.5 mL)after punc-turing the skull,group B received 2％lidocaine(1 mL)before puncturing the foramen ovale and 0.25％lidocaine(0.5 mL)after entering the skull,and group C received 2％lidocaine(0.5 mL)externally and 0.25％lidocaine 0.5 mL upon intracranial injection.The pain and trigeminal-cardiac reflex as well as postoperative facial pain and numbness experienced by the patients were recorded.Results No statistically significant differences in the Visual Analogue Scale(VAS)scores among the groups were observed before surgical puncture.At the time before foramen ovale puncture,the VAS score and incidence of trigeminal-cardiac reflex in group C were significantly higher than those in groups A and B(P＜0.05).No statistically significant differences were observed among the three groups during balloon com-pression(P＞0.05).After 6 and 12 months of follow-up,no statistically significant differences were observed in the degree of facial pain and numbness among the three groups of patients(P＞0.05).Conclusion A sufficient volume(2％lidocaine,1 mL)of local anesthetic should be administered to ensure an analgesic effect and suppress adverse reflexes before puncturing the foramen ovale.During balloon compression,a low-concentration local anesthetic(0.25％lidocaine,0.5 mL)can also achieve analgesic effects and significantly suppress adverse reflexes.Notably,various local anesthesia methods have no long-term effects.
