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形孔的大小对皮肤穿透气球压缩后疼痛复发的预测值

Chuansheng Li¹, Jie Yang², Fengwei Han³

¹Department of Neurosurgery, Affiliated Hospital of Chengde Medical College, Chengde Hebei 067000. 2609953840@qq.com.

Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences

|August 4, 2023

概括

孔圆形大小预测三角神经疼痛在皮肤穿透气球压缩后复发. 较大的形孔的尺寸,特别是面积和面积比,表明这种微创手术后疼痛复发的风险较低.

科学领域:

神经外科神经外科
疼痛管理疼痛管理
头骨神经疾病头骨神经疾病

背景情况:

初级三角神经疼痛 (PTN) 是一种衰弱的头骨神经疾病.
穿皮气球压缩 (PBC) 是对PTN的一种有效的微创治疗方法.
在PBC后面部疼痛复发仍然是一个重大的临床挑战.

研究的目的:

调查卵孔大小对PBC后术后疼痛复发的预测值.
探索圆孔尺寸和PBC后PTN复发之间的关系.

主要方法:

对60名PTN患者的临床数据进行了回顾性分析,这些患者接受了PBC治疗.
巴罗神经研究所 (BNI) 疼痛评分在手术后12个月的评估.
用ROC曲线分析测量状孔的尺寸 (长直径,横直径,面积) 并计算比例 (受影响/健康侧面).

主要成果:

83.3%的患者获得了疼痛缓解,16.7%的患者在12个月后出现了复发.
与复发组相比,在治愈组中观察到,受影响侧面的形孔的长直径,面积比和面积比显著更高.
形孔的面积比和面积比表明疼痛复发的预测值很好 (AUC > 0.75).

结论:

状孔的大小,特别是与健康侧相对的面积和面积比率,是PTNPBC后疼痛复发的重要预测因素.
在手术前评估形孔的尺寸对于预测治疗结果和管理患者期望至关重要.

关键词:

形形形形孔疼痛的复发疼痛的复发通过皮肤进行气球压缩.预测预测预测预测主要的三胞胎神经疼痛

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